The nurse is developing a care plan for a patient admitted to the intensive care unit with upper gastrointestinal bleeding. Which intervention by the nurse may help the family cope with the emergent hospitalization?
a) Assessing family relationships
b) Carefully observing verbal and nonverbal communication
c) Monitoring for signs of stress
d) Keeping the family informed of the patient's progress
Answer: d) Keeping the family informed of the patient's progress
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A nurse observes a patient sitting up in bed, leaning forward with the arms braced against the over-the-bed table. What action by the nurse is best?
a. Assess the patient for a barrel-chest appearance. b. Palpate the patient's abdomen for tenderness. c. Inspect the patient's spine for deformities. d. Ask the patient if he/she is experiencing dizziness.
A client is seen in the orthopedic clinic for complaints of severe pain in the left hip. After a series of diagnostic tests, the client is diagnosed with severe degenerative joint disease of the left hip and suggested to have the hip reconstructed
What procedure will the nurse schedule the client for? A) Left hip arthroplasty B) Left hip arthroscopy C) Open reduction and internal fixation of the left hip. D) Closed reduction of the left hip.
The infant of a woman who has diabetes mellitus is admitted to the newborn nursery. It is especially important for the nurse to assess for:
a. Anemia b. Respiratory distress c. Hyperglycemia d. Adrenal insufficiency
Which is the best route to check a temperature for a client who is diaphoretic? Select all that apply.
A. Oral B. Rectal C. Axillary D. Tympanic E. Heat sensitive