The patient informs the hospice nurse, "I'm not sold on this hospice thing. I'm not looking for Jesus, I'm just dying." What would be the most therapeutic response by the nurse?
a. "Spiritualism is as you define it."
b. "Rejecting the spiritual aspect of yourself may not be in your best interest."
c. "Hospice service is about how to make your remaining time meaningful."
d. "Based on what you say, hospice service may not answer your needs."
ANS: C
The holistic approach of hospice pertains to the total patient care including physical, emotional, social, economic, and spiritual needs of the patient with no particular emphasis on any one of those aspects.
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A critical care nurse is caring for a client with an endotracheal tube who is on a ventilator. The nurse knows that meticulous airway management of this patient is necessary. What is the main rationale for this?
A) Maintaining a patent airway B) Preventing the need for suctioning C) Maintaining the sterility of the patient's airway D) Increasing the patient's lung compliance
The nurse is concerned that a client's uterine activity is too intense and that her obesity is preventing accurate assessment of the actual intrauterine pressure. Based on this information, which action should the nurse take?
a. Reposition the tocotransducer. b. Reposition the Doppler transducer. c. Obtain an order from the health care provider for a spiral electrode. d. Obtain an order from the health care provider for an intrauterine pressure catheter.
A common auscultatory finding in advanced CHF is
A. Systolic ejection murmur B. S3 gallop rhythm C. Friction rub D. Bradycardia
Collecting, organizing, documenting, and validating information about a patient's health status.
What will be an ideal response?