An instructor is discussing the various types of solutions used for enemas. A student shows the need for additional instruction by saying:
1. "Only pure castile soap or a soap designated by facility policy should be used for a soapsuds enema."
2. "I should only use tap water when giving an enema to children."
3. "Hypertonic solutions may be used in small volumes for adults."
4. "Normal saline is the only solution that should be used on patients with congestive heart failure."
ANS: 2
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Which of the following interventions would be appropriate when working with a woman whose nursing diagnosis is Ineffective coping related to impaired impulse control as evidenced by impulsive self-injurious behavior? (Select all that apply.)
a. Assist the patient to develop a list of effective coping options to carry for future use. b. Encourage her to use negative reinforcers (e.g., pain) to discourage undesired behavior. c. Guide the patient to examine the advantages and costs of her present coping strategies. d. Help her to practice the desired responses in role plays and later in real-life situations. e. Teach the patient to "cue" herself to stop and think before taking undesired actions. f. Consult with her psychiatrist about antianxiety medication to help reduce impulsiveness.
To be an effective delegator, one must balance the ability to be both
A. Commanding and affiliative B. Visionary and on time C. Controlling and well-liked D. Happy and a good coach
During the physical examination of a 36-year-old female, the nurse finds that the patient's thyroid gland cannot be palpated. The most appropriate action by the nurse is to
a. palpate the patient's neck more deeply. b. document that the thyroid was nonpalpable. c. notify the health care provider immediately. d. teach the patient about thyroid hormone testing.
The nurse, after formulating several diagnoses for a client, does not understand the reason for some of the discrepancies in the client's lab values and diagnostic tests, when comparing to norms and standards
Which of the following is the best action of the nurse? 1. Verify the information with the client. 2. Compare all findings to the national norms and standards. 3. Consult other professionals and colleagues. 4. Improve critical-thinking skills so answers come more easily.