Which instruction should be given to the family regarding noise in the room when they are spending time with a dying family member?
A. "Remember that she can't hear you."
B. "Try to get her to talk or respond to you."
C. "Avoid making any noise when you are with her."
D. "Talk as softly to her as you would if you knew she could hear you."
D
The sense of hearing may remain intact even when it appears that the client is totally unrespon-sive to any sort of stimuli. Conversations in the room should be conducted as if the client were fully aware of his or her surroundings.
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You are part of the health care team at an oncology center. Your patient has been diagnosed with leukemia and the prognosis is poor. The patient is unaware of the prognosis. How can the bad news best be conveyed to the patient?
A) Family should be given the prognosis first. B) The prognosis should be delivered with the patient at eye level. C) The physician should deliver the news to the patient alone. D) The appointment should be scheduled at the end of the day.
Just after being admitted to the emergency department for symptoms of influenza, the patient loses consciousness. His wife reports that he is diabetic but has not taken his oral medications for a "couple of days." Which nursing interventions are indicated?
1. Check the patient's blood glucose using a fingerstick monitor. 2. Place 1.5 tubes of 40% glucose gel under the patient's tongue. 3. Obtain intravenous access. 4. Administer 50% dextrose subcutaneously. 5. Administer regular insulin subcutaneously.
Which assessment data is the nurse likely to observe in a patient with chronic kidney disease?
A) Serum creatinine of 0.7 mg/dL B) BUN:creatinine ratio of 10:1 C) Serum phosphorous of 3.1 mg/dL D) Parathyroid hormone of 62 pg/mL
An advanced practice psychiatric nurse must have a(n) ____ degree to practice
a. Associate's b. Baccalaureate's c. Master's d. Doctoral