A patient scheduled for complex heart surgery has been reading the Bible for hours each day, cries often, and is not sleeping well. What might these observations cue the nurse about the patient?
A) These behaviors are expected before major surgery.
B) These behaviors are signs of spiritual distress.
C) Family members live far away and the patient is lonely.
D) The patient is naturally emotional and reactive.
B
You might also like to view...
The nurse is evaluating the transmission of a report from a paramedic unit to the emergency room. The medic reports that a client is unconscious with edema of the head and face and Battle's sign. What clinical picture would the nurse anticipate?
A) Edema to the head and a blackened eye B) Edema to the head with a large scalp laceration C) Edema to the head with fixed pupils D) Edema to the head with bruising of the mastoid process
A NANDA nursing diagnosis that could be appropriate for an older adult with a marked hearing impairment is: Select all that apply
a. Fear b. Social Interaction Impaired c. Confusion (Chronic) d. Risk for Injury e. Self Esteem Disturbance
A 55-year-old patient who is recovering from a face-lift performed 2 days ago says, "I think this was a waste of time and money. I look horrible!" How should the nurse respond?
1. "It takes a while for the skin to heal.". 2. "You could use makeup.". 3. "I would complain to the doctor.". 4. "What did you expect?"
Which tools are not anticipated when conducting a newborn assessment?
1) Tape measure 2) Goniometer 3) Stethoscope 4) Otoscope