Harriet Powell, age 68, has just been admitted to the oncology unit with a new diagnosis of lung cancer. This is Mrs. Powell's first time being admitted in the hospital, and she knows very little about her diagnosis
Which of the following is the best action that the nurse can take to make Mrs. Powell's transition easier?
a. Leave a printout about lung cancer at her bedside
b. Administer an antianxiety agent to keep her calm
c. Tell her a physician will be in to explain what is going on
d. Talk with her about her fears, questions, or concerns
D
Talking with Mrs. Powell about her fears and concerns is a critical aspect of giving caring and holistic nursing care. Responses A and C may provide supplemental information for Mrs. Powell about her condition, but they do not replace the role of the nurse to listen to and address the patient's concerns. Response B can be helpful in keeping the patient calm but does not resolve her underlying concerns.
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The school nurse is observing a young child who has episodes of rage toward peers during recess and at lunchtime. The advantage of conducting an assessment in this environment is:
1. This will assist in identifying the bullies who trigger the explosive episodes. 2. This provides an opportunity to collect data in the event that other children are injured and legal documentation is needed. 3. To provide data for the parents who are in denial about the problem. 4. This provides a picture of problems and strengths in a realistic context.
A patient with a head injury is being monitored with an intracranial pressure monitor. What nursing assessment best indicates intracranial hypertension?
A) Intracranial pressure 8 mm Hg B) Glasgow Coma Scale score 3 C) Intracranial pressure 25 mm Hg D) Glasgow Coma Scale score 15
A nurse manages care for a woman who has been receiving Depo-Provera for 2 years. This patient is at increased risk for and should be assessed for
a. breast cancer. b. endometrial cancer. c. osteoporosis. d. breast duct ectasia.
Which of the following statements is true about the formation of feces?
A. The rectum removes water and minerals from the residual waste product and compresses the waste into feces for excretion through the anus. B. The small intestine compresses the waste into feces for excretion. C. Contractions of the small intestine move digested food and chyme toward the colon. D. None of these are correct.