An elderly patient in the CCU is getting out of bed for the first time after being on bed rest for several days. What is the highest-priority nursing intervention?
A) Provide adequate physical help so that the patient does minimal weight bearing.
B) Ensure that the patient's call light is always within reach.
C) Apply a vest restraint while the patient is up to prevent falling.
D) Have the patient sit on the side of the bed for a few minutes before standing.
D
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Body temperature is an example of a constant
A) True B) False
The 60-year-old female in the post–coronary care unit confides to the nurse, "My life is over. I'll never be able to care for my family, take a vacation, or work in my garden." Which response by the nurse is most supportive?
a. "You are doing great! Of course you'll be able to do all those things in a few weeks." b. "You may have to give up some things, but there are other activities you might enjoy." c. "You are feeling a little blue today. I'll get you some medication to help your anxie-ty." d. "You sound a little down. Tell me what you think is going to keep you from those activities; we might be able to address the problems."
The nurse is admitting a client in labor who states that she is a naturopath. The nurse understands that this client believes which of the following?
1. An initial worsening of symptoms after treatment means the correct remedy has been used. 2. There are five elements that take form in the body. 3. Her pregnancy is a kapha condition. 4. Naturopathy is a form of medicine that utilizes the healing forces of nature.
A medical surgical client is in the radiology department. The client's cousin arrives on the medical surgical unit and asks to speak with the nurse caring for his cousin. The visitor asks the nurse to provide a brief outline of the client's illness. Which response, if given by the nurse, would demonstrate application of legal safeguard in her practice?
a. "I cannot give you that information due to client confidentiality." b. "I will call the client and ask his permission." c. "Do you have any identification proving you are related to the client?" d. "I'm busy right now, but can talk later."