The nurse is working with a client who has hallucinations and delusions. The client tells the nurse she can't take a shower because she's waiting for her husband to take her home
Which of the following responses by the nurse is best in this situation? A) "It would be best if you just took your shower now."
B) "You seem anxious and upset."
C) "You have plenty of time to shower before it's time to go home."
D) "Why do you think you're going home?"
C
Feedback: This is an example of going along with rather than correcting the client's misperception, so that she can get on with her daily activities and not focus on being upset about not going home. Answers A, B, and D are not the best responses in this situation.
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The nurse is providing discharge teaching for a patient with a large carbuncle on the back of the neck
The physician performs surgical incision and drainage under a local anesthetic and prescribes oral antibiotics and daily dressing changes with topical antibiotic ointment. A prescription for acetaminophen with codeine is also provided. Which of the following statements indicates further teaching is necessary? a. "I will need to increase my fluid and fiber intake to prevent constipation while I'm taking the pain medication." b. "Once the swelling and redness are gone, I can stop taking the antibiotics." c. "I should wash the area gently with antibacterial soap before applying a new dressing." d. "Covering my pillow with plastic and cleaning it every day will help prevent additional infection."
The nurse is caring for a severely brain injured patient. A family member requests information regarding signs of brain death. The nurse knows that what diagnostic test will be done to confirm brain death?
A) Cerebral blood flow studies B) Lumbar puncture C) Electromyography D) Spiral CT scan
Which patient statement indicates that the nurse's teaching about prevention of COPD has been effective?
A) "Only cigarette smoking can cause COPD." B) "Secondhand smoke does not lead to COPD." C) "Use of a water pipe does not lead to COPD." D) "Pipe smoking can cause COPD."
The nurse working in a school-based clinic is gathering data on a 17-year-old girl who has come to the clinic. She is complaining of nausea and has not had a period in 6 weeks. She is found to be pregnant and to have gonorrhea as well
The girl is undecided as to whether she wishes to abort the pregnancy or have the baby. Which of the following medications will most likely be ordered for this adolescent? An injection of ceftriaxone followed by a: A) 1-week course of oral doxycycline B) second injection of penicillin in 1 week C) second injection of ceftriaxone in 1 week D) 1-week course of oral erythromycin