The nurse has admitted a woman with borderline personality because of wrist-cutting. The client's sister is visiting, and the sister asks the nurse to explain why her sister sometimes self-mutilates
Which of the following responses would be appropriate for the nurse to make?
A) "Sometimes the self-injurious behavior is undertaken to relieve stress."
B) "Self-injurious behavior often calms and sedates people with this diagnosis."
C) "Sometimes they do it to avoid the onslaught of delusional thinking."
D) "Have you noticed your sister's frequent mood swings? The self-mutilation often slows the mood swings."
C
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What should nursing care focus on when caring for a patient with a ureteral catheter in place after the removal of a kidney stone?
a. Irrigating the catheter regularly b. Assessing for patency c. Including ureteral output with the bladder output d. Early ambulation
The nurse is caring for a client who is demonstrating signs of increased respiratory distress related to laryngeal obstruction. The nurse is calling the physician to report on the client's condition
Which of the following will the nurse report? Select all that apply. A) A decreased respiratory rate B) Arterial blood gases reporting a PaCO2 of 48 and a PaO2 of 84 C) Nasal flaring with abdominal retractions D) Administration of a corticosteroid inhaler for quick relief E) Lung sounds of stridor F) Increased respiratory effort
Which of the following statements is true of chronic pain?
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A client with chronic kidney disease on peritoneal dialysis exhibits redness, tenderness and drainage around the catheter site on the abdominal wall. In planning care, the nurse is most concerned about preventing which complication related to these findings?
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