When evaluating the client's progress toward identifying and demonstrating a more adaptive response to stressful stimuli, the nurse knows that this step is what?
A) Necessary to increase the client's functioning
B) Important to enlist the family's support in the treatment
C) Integral in the adjustment of pharmacotherapeutic dosing
D) Helpful in decreasing the dissociative response
D
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To compensate for renal alkalosis, the body begins to
A) blow off carbon dioxide via the respiratory system. B) conserve hydrogen ions. C) conserve bicarbonate ions. D) excrete hydrogen ions.
A patient with advanced venous insufficiency is confined following orthopedic surgery. How can the nurse best prevent skin breakdown in the patient's lower extremities?
A) Ensure that the patient's heels are protected and supported. B) Closely monitor the patient's serum albumin and prealbumin levels. C) Perform gentle massage of the patient's lower legs, as tolerated. D) Perform passive range-of-motion exercises once per shift.
A male patient shares that, although he has a satisfying relationship with his wife, he is also attracted to men. He is confused and does not know how to deal with this issue. The nurse should do which of the following?
a. Explain that the patient's problem is one of orientation and high risk. b. Tell the patient that he has a sexual dys-function and needs medication. c. Inform the patient that having relation-ships with other men is normal and risk free. d. Teach that STIs are fewer with men be-cause most STIs are spread vaginally.
A patient with multisystem trauma has been in the ICU for 6 days after sustaining a closed head injury, a right-sided pneumothorax, right rib fractures, a grade IV liver laceration, a pancreatic contusion, and a right acetabular fracture
The patient is still intubated and mechanically ventilated and has a chest tube, Foley catheter, and two abdominal drains. The patient's hemodynamic assessment reveals the following values: BP, 94/66 mm Hg; HR, 118 beats/min; T, 38.7Â ° C; CVP, 5 cm H2O; wedge pressure, 6 mm Hg; cardiac index, 6.1; and systemic vascular resistance, 450 dynes/sec. What is the most likely cause of this hemodynamic picture? a. Septic shock b. Hemorrhagic shock c. Cardiogenic shock d. Neurogenic shock