A wife of a critically injured husband has been at his bedside constantly for 2 days. As the nurse speaks to the wife, the wife sobs, "This is awful. I can't take it anymore." What is the wife expe-riencing?
a. Fear
b. Denial
c. Compensation
d. Stress
D
Long-term stress causes fatigue and an inability to solve problems.
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The nurse working in a long-term care facility is talking with a client diagnosed with congestive heart failure, diabetes, hypertension, and chronic renal failure, and notes mild edema of the ankles while the client is sitting in the chair
Breath sounds are clear and equal, with good chest excursion, and the client denies any feeling of shortness of breath. The nurse reviews the medical record and sees no significant change in the client's daily weights over the last week. What are the nurse's priority interventions for this client? Select all that apply. Standard Text: Select all that apply. 1. Call the doctor for an order to increase the client's diuretic. 2. Review the client's diet to determine sodium intake. 3. Review the client's BUN and creatinine. 4. Encourage the client to elevate her feet when sitting. 5. Apply antiembolism stockings.
A client has a new prescription for an antihistamine for severe allergies. The client's health assessment indicates that the client has "a couple of drinks" at lunch and after work each day. What action should the nurse take?
a. Suggest the client attend Alcoholics Anonymous meetings. b. Suggest that the client eat larger portions of food at mealtimes. c. Tell the client's spouse to monitor the client's response. d. Tell the client an adverse reaction to the new drug may occur if alcohol is not eliminated.
A client has been receiving antipsychotic medication for 6 weeks. At her clinic appointment she tells the nurse that her hallucinations are nearly gone and that she can concentrate fairly well. She states her only problem is "the flu" that she's had for 2 days. She mentions having a fever and a very sore throat. The nurse should
A. suggest that the client take something for her fever and get extra rest. B. advise the physician that the client should be admitted to the hospital. C. arrange for the client to have blood drawn for a white blood cell count. D. consider recommending a change of antipsychotic medication.
A patient with a tendency to form blood clots is in the recovery room after having hip replacement surgery. Which anticoagulant would best serve the patient's needs?
A. Streptokinase B. Warfarin C. Aspirin D. Heparin