A male Hispanic client has had a lung biopsy. The results indicate a poor prognosis for the client. The family is at the client's bedside and begins to moan and cry loudly
The health care provider has told the nurse that he needs to have the consent form signed for surgery. The client has asked the nurse to allow the family private time. What should the nurse do at this time?
A) Ask the family to come back later.
B) Have the doctor get the consent with the family present.
C) Provide the client and family privacy.
D) Take the client to another room.
Answer: C
As the client advocate, the nurse would allow this family to bond according to their customs. Asking the family to leave may cause extreme stress to the client and family. It would not be appropriate for the doctor to try to explain the surgery while the family is grieving. Taking the client to another room would deprive the client from participating in his family's customs.
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The nurse is caring for a patient who has had abdominal surgery but has developed a slight temperature. A patient-centered goal would be:
a. the patient's temperature will return to normal within 24 hours. b. the nurse will medicate the patient for surgical pain every 4 hours. c. skin integrity will be maintained until the patient is ambulatory. d. the patient will ambulate 10 feet by post-op day 2.
A 14-year-old boy has experienced a pronounced growth spurt over the last several months
While discussing this with his parents, the nurse educates what normal male growth patterns contain. Of the following, which are accurate statements to relay to the parents? Select all that apply. A) Most males will complete their growth spurt by age 16. B) It is not usual for their son to gain up to 30 kg in weight. C) With parathyroid hormone involvement, your son may be at risk for fractures. D) Expect the thorax to become broader and for the pelvis to remain narrow. E) Some children have stunted growth in their arms or legs.
The star quarterback on the high school football team is injured in a motorcycle accident. He will be unable to play football again. In planning his care, the nursing diagnosis for coping that you would use is:
1. Impaired physical mobility. 2. Situational low self-esteem. 3. Impaired social interaction. 4. Impaired comfort.
A severely depressed patient who has been on suicide precautions tells the nurse, "I am feeling a lot better, so you can stop watching me. I have taken too much of your time already." Which is the nurse's best response?
a. "I wonder what this sudden change is all about. Please tell me more." b. "I am glad you are feeling better. The team will consider your request." c. "You should not try to direct your care. Leave that to the treatment team." d. "Because we are concerned about your safety, we will continue with our plan."