The nurse manager of a care area asks that a new intravenous-therapy monitoring device not be used for any patients until the entire staff has received appropriate instruction on its use
The nurse manager is demonstrating which of the following components of caring? 1. Commitment
2. Conscience
3. Confidence
4. Comportment
Commitment
Rationale: Commitment is the obligation to see something through to completion, to achieve positive outcomes, and to ensure that the organization supports the nurses in their learning needs. The nurse manager is ensuring that the nursing staff is trained in the use of the equipment before it is used. Conscience is defined as possessing a moral sense of what is right or wrong. Confidence is the ability to believe in or rely on another person. Comportment means that one is aware of one's conduct and behavior around others.
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Instrumental activities of daily living (IADLs) include all of the following except
a. Cleaning b. Managing finances c. Toileting d. Taking medications
The nursing student tells her instructor, "My patient is Jewish and when I tried to teach her about her antihypertensive medication she said, ‘I'd rather eat chicken soup than take those medications.'"
What is the most appropriate response by the instructor? a. "This is common folk medicine among some Jewish people. You can talk to her about taking her medications and eating chicken soup." b. "There is no scientific evidence to support chicken soup as a substitute for antihypertensive medications. Maybe you should do some research on this." c. "The patient can make her own choices and decisions, and there is nothing we can do about this." d. "You can tell the patient she can eat her soup, but she needs to understand that she has to take her medications first."
What disorder of the chest best describes her symptoms?
A 75-year-old retired teacher presents to your clinic, complaining of severe, unrelenting anterior chest pain radiating to her back. She describes it as if someone is “ripping out her heart.” It began less than an hour ago. She states she is feeling very nauseated and may pass out. She denies any trauma or recent illnesses. She states she has never had pain like this before. Nothing seems to make the pain better or worse. Her medical history consists of difficult-to-control hypertension and coronary artery disease requiring two stents in the past. She is a widow. She denies any alcohol, tobacco, or illegal drug use. Her mother died of a stroke and her father died of a heart attack. She has one younger brother who has had bypass surgery. On examination you see an elderly female in a great deal of distress. She is lying on the table, curled up, holding her left and right arms against her chest and is restless, trying to find a comfortable position. Her blood pressure is 180/110 in the right arm and 130/60 in the left arm, and her pulse is 120. Her right carotid pulse is bounding but the left carotid pulse is weak. She is afebrile but her respirations are 24 times a minute. On auscultation her lungs are clear and her cardiac examination is unremarkable. You call EMS and have her taken to the hospital's ER for further evaluation. A) Angina pectoris B) Pericarditis C) Dissecting aortic aneurysm D) Pleural pain
A nurse is providing care for a patient who just underwent a screening colonoscopy in which no abnormalities were noted. Which of the following would indicate the need for additional discharge teaching?
1. "Since I'm over 60, I need to have this done every 3 to 5 years." 2. "I can resume my normal diet once I return home." 3. "The test results mean the doctor didn't see any colon cancer." 4. "You still need to monitor me for a while before I can go home."