The nurse is caring for a client who is being treated in the emergency room for a panic attack. Which of the following nursing interventions would be most appropriate?
A) Stay with the client and portray empathy by trying to mimic the client's state of anxiety.
B) Tell the client that you must leave to go report his symptoms to the psychiatrist on duty.
C) Tell the client this is an acute exacerbation with a positive prognosis and low morbidity.
D) Stay with the client and stress that he is safe and that you will remain with him.
D
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The nurse is attempting to teach a patient how to perform wound care for when he goes home. Using the "teach back" method the nurse should do which of the following?
a. Repeat the instructions until the patient understands. b. Present the information and clarify with closed-ended questions. c. Ask the patient if he understands the instructions. d. Ask if the patient has any questions about the technique.
In monitoring a premature infant's respiratory status, which symptom would provide the nurse with the earliest indication of respiratory difficulty?
a. Irritability and poor feeding c. Tachypnea and nasal flaring b. Bradycardia and cyanosis d. Hypotension and pallor
A new mother asks you how soon she can breastfeed after delivery. Which of the following would be your best answer (barring unforeseen complications)?
A) Immediately after birth B) After the infant is allowed to rest C) Once the infant has a first feeding of formula D) In 24 hours after her infant is given water
Which intervention should the nurse plan to implement when caring for a client who has just undergone a right above-the-knee amputation?
A) Maintain the residual limb on three pillows at all times. B) Place a large tourniquet at the client's bedside. C) Apply constant, direct pressure to the residual limb. D) Do not allow the client to lie in the prone position.