A client with a chest tube who experiences sharp stabbing chest pain without a change in pulse or blood pressure may have:
A. Pneumonitis
B. Tube displacement
C. A myocardial infarction
D. A tension pneumothorax
D
D. Sharp stabbing chest pain with or without decreased blood pressure and increased heart rate may indicate a tension pneumothorax.
A. A chest tube is not an expected treatment for pneumonitis.
B. Immediately apply pressure over chest tube insertion site.
C. Myocardial infarction pain is expressed as "crushing" or "pressure" over the sternal area.
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The nurse is caring for a client from another culture who refused morning care. Possible cultural influences on the client include: Standard Text: Select all that apply
1. Religious practices. 2. Growing up in an area with little water. 3. Need for privacy. 4. Need for assistance. 5. Client's age.
To listen therapeutically to the patient, the nurse should try to:
1. concentrate on the patient and not think of responses to the patient while he or she is speaking. 2. determine the cause of the patient's problem while the patient is speaking. 3. ask the patient why he thinks he feels that way. 4. tell the patient that you have had similar experiences.
A nurse is educating a client with cervical dysplasia diagnosed by Papanicolaou (Pap) smear. Which statement by the client requires further follow up by the nurse?
A) "This condition may be reversible." B) "I have cervical cancer." C) "This is an abnormal condition." D) "My cervical cells have grown in a deranged manner."
There are nine steps in instructing others to promote effective education. A nurse is working with a group of clients with diabetes and is teaching a class on avoiding the long-term effects of diabetes
The nurse begins the class by reviewing the basic physiology of diabetes, which was taught the week before. This nurse is using which of the nine steps? 1. Stimulating recall of prior learning 2. Gaining attention 3. Presenting the material 4. Providing learning guidance