Several visitors are in the room of a terminally ill patient. The nurse enters the room to discuss the plan of care for the patient. Which actions should be taken?
1. Stand at the foot of the patient's bed and tell all present the best course of action.
2. Ask the patient which individuals he or she would like to have stay in the room.
3. Ask the other patient in the room to raise the volume of the television.
4. Sit down next to the patient and discuss the plan.
2
Rationale 1: The nurse should not assume that everyone in the room is supposed to hear the plan of care.
Rationale 2: Just because the patient is terminally ill does not mean that privacy is no longer an issue. The nurse should continue to honor the patient's wishes.
Rationale 3: If the roommate cannot leave the room, the nurse should draw the curtain and speak in quiet tones.
Rationale 4: Sitting next to the patient does not necessarily ensure privacy.
You might also like to view...
A client is on SIMV with a rate of 24. The nurse may question this order since:
1. The rate could be too high for this mode. 2. The client will be more comfortable with a different mode. 3. The client is not receiving enough sedation. 4. SIMV is always used in combination with PEEP.
The knowledgeable nurse can list which strategy as one that will foster a successful interview for the interviewee?
a. Demonstrate interest in what the inter-viewer has to say. b. Exercise the option to disagree with the interviewer. c. Check off on a list when each item is cov-ered by the interviewer. d. Answer questions with as much detail as possible.
After 2 months of tuberculosis (TB) treatment with isoniazid (INH), rifampin (Rifadin), pyrazinamide (PZA), and ethambutol, a patient continues to have positive sputum smears for acid-fast bacilli (AFB). Which action should the nurse take next?
a. Teach about treatment for drug-resistant TB treatment. b. Ask the patient whether medications have been taken as directed. c. Schedule the patient for directly observed therapy three times weekly. d. Discuss with the health care provider the need for the patient to use an injectable antibiotic.
The nurse is reviewing the functions of the ovaries, uterus, clitoris, and vagina with a group of nursing students. What would be the best response by a nursing student about the function of the uterus?
A) Produces female gametes or ova and secretes female sex hormones B) Receives the fertilized ovum and provides housing and nourishment for a fetus C) Receives sperm, provides an exit for menstrual flow, and serves as the birth canal D) Small erectile structure that responds to sexual stimulation