A client who has an anxiety disorder fears having panic attacks when he is alone at home. The nurse teaches the client to use meditation techniques when he feels anxious
The technique can be evaluated as having proved useful when the client explains to a friend that meditation:
1. Is difficult to learn and requires a facilitator when doing techniques
2. Results in positive physical and mental effects
3. Is only beneficial to reduce mild anxiety
4. May result in increased anxiety
ANS: 2
Meditation has wide-ranging effects that include lowering heart rate and blood pressure, de-creasing serum adrenal corticosteroids, increasing immunity to disease, and providing a sense of calmness and mental alertness. Options 1 and 4 are untrue. Option 3 is untrue; it is useful for moderate anxiety also.
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The nurse is caring for a patient with acute renal failure with an elevated potassium level
The health care provider orders administration of insulin that causes potassium to return to the cell, thereby lowering serum potassium levels and the risks associated with hyperkalemia. The nurse recognizes this as a type of what? A) Passive transport B) Active transport C) Osmosis D) Diffusion
You are sending home a patient who is receiving parenteral nutrition. What does an effective home care teaching program do? (Mark all that apply.)
A) Prepares the patient to troubleshoot for problems B) Teaches the patient and family strict aseptic technique C) Teaches the patient and family how to set up the infusion D) Prepares the patient to flush the line with normal saline E) Prepares the patient when to come in for dressing changes
An elderly patient tells you she is unable to read some of the instructions about her medication. Your first response is to:
1. Give the patient verbal instructions for the medication. 2. Read the instructions with the patient then have her repeat them back to you. 3. Stop the medication until the patient can get an appointment in the clinic. 4. Do nothing and tell the patient to take the medication as prescribed.
A nurse is assessing the status of a client with diabetes mellitus. The nurse concludes that the client is exhibiting adequate diabetic control if the serum level of glycosylated hemoglobin A1C (HbA1C) is less than which value?
A. 7% B. 9% C. 10% D. 15%