A patient who emigrated from India is admitted to the medical step-down unit with a bowel obstruction. A nasogastric (NG) tube is inserted to decompress her stomach
She asks the nurse whether her daughter can bring in garlic to administer through her NG tube. The nurse tells the patient that she will ask the physician when she makes rounds. This nurse is using the theory developed by which nurse theorist?
a. Betty Neuman
b. Dorothea Orem
c. Callista Roy
d. Madeline Leininger
ANS: D
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A nurse cares for a client who is prescribed a drug that blocks a hormone's receptor site. Which therapeutic effect should the nurse expect?
a. Greater hormone metabolism b. Decreased hormone activity c. Increased hormone activity d. Unchanged hormone response
The nurse should expect which manifestations in a patient in the chill phase of fever?
A) Shivering, vasoconstriction, report of feeling cold B) No chills, no report of feeling distressed C) Report of feeling uncomfortably hot, sweating D) Hot dry skin, confusion
The nurse tests the capillary refill on a client's lower extremity and notes that it takes 4 seconds for the color to return to baseline. It would be most important for the nurse to then check for
a. constricting clothing. b. other indicators of peripheral perfusion. c. presence of venous ulcers. d. prior surgery on this extremity.
Auscultation of a child's heart reveals a loud murmur with a precordial thrill. The nurse documents this as which of the following?
A) Grade II B) Grade III C) Grade IV D) Grade V