The nurse is planning the care for a client with several needs. According to Maslow's hierarchy of needs, the need with the greatest priority would be the client:
a. has a severe toothache.
b. wonders if her parents really love her.
c. is worried about making the honor roll in school.
d. has concerns about her career choices.
ANS: A
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What environmental conditions should the nurse arrange for a patient with delirium and altered perceptions of her environment?
a. Provide a quiet, well-lit room without glare or shadows. b. Have the patient sit by the nurse's desk while awake. c. Reduce room lighting to minimize overstimulation. d. Keep a radio on continuously to reduce isolation.
The nurse is caring for a client who has undergone a kidney transplant. The client asks the nurse what will happen when his body realizes that the kidney is not "his." What is the nurse's best response?
a. "The immune system will try to destroy the kidney if we don't suppress it." b. "As long as the kidney is a ‘match' to your blood type, there will be no problem." c. "You will develop a fever or other com-plications from the transplant." d. "Within a week, your body will ‘adjust' to the new organ."
When prescribing a tetracycline or quinolone antibiotic it is critical to instruct the patient:
1. Not to take their regularly prescribed medications while on these antibiotics 2. Regarding the need for lots of acidic foods and juices, such as orange juice, to enhance absorption 3. Not to take antacids while on these medications, as the antacid decreases absorption 4. That there are no drug interactions with these antibiotics
As relates to the father's acceptance of the pregnancy and preparation for childbirth, the maternity nurse should know that:
a. The father goes through three phases of acceptance of his own. b. The father's attachment to the fetus cannot be as strong as that of the mother because it does not start until after birth. c. In the last 2 months of pregnancy, most expectant fathers suddenly get very protective of their established lifestyle and resist making changes to the home. d. Typically men remain ambivalent about fatherhood right up to the birth of their child.