On the fourth postoperative day after a modified radical mastectomy, the nurse finds the patient with her back to the nurse
She is crying and tells the nurse she feels ugly and is worried that her husband will not be in love with her anymore. The nurse bases subsequent nursing interventions on what diagnosis?
a.
Disturbed body image related to removal of her breast
b.
Deficient knowledge related to inadequate education
c.
Impaired social interaction related to depression
d.
Fear related to the cancer diagnosis and surgical intervention
ANS: A
After losing a breast, many patients experience grief over the loss of a body part. The process of grieving is essential for personal adaptation to the loss. The nurse can assist the patient to find helpful coping mechanisms.
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To maintain adequate nutrition and promote healing in a burn patient, the nurse would recommend which of the following dietary choices?
A) Cheeseburger and vegetable soup B) Milkshake and vanilla pudding C) Chicken broth and cherry Jell-O D) Mashed potatoes and corn
For the osteoporotic patient on alendronate (Fosamax), the nurse would stress that the drug requires that the patient should:
1. take the drug after breakfast. 2. avoid use of supplemental vitamin D. 3. decrease fluid intake. 4. sit or stand for 30 minutes following administration.
A laboring client in the latent phase is experiencing uncoordinated irregular contractions of low intensity. How should the nurse respond to complaints of constant cramping pain?
a. "You are only 2 cm dilated, so you should rest and save your energy for when the contractions get stronger." b. "Let me take off the monitor belts and help you get into a more comfortable position." c. "You must breathe more slowly and deeply so there is greater oxygen supply for your uterus. That will decrease the pain." d. "I have notified the doctor that you are having a lot of discomfort. Let me rub your back and see if that helps."
As a student nurse on the medical unit, a nurse tells you that 'as a registered nurse, you will always have a job.' You recognize that this is:
a. True, since the shortage of nurses is projected to continue b. A common myth/misconception believed by many nurses c. True, because of the growing older population many of whom require nursing care for chronic illnesses d. A and C