A client states "Nothing works! I'll always be overweight." You reply with "You are frustrated with the methods you've tried in the past to lose weight." What type of response is this?
a. attributing
b. clarifying
c. interpreting
d. probing
Answer: b. clarifying
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A patient with pancreatitis is complaining of pain at a level of 10 on a scale of 0 to 10 . The doctor has ordered IV fentanyl citrate (Sublimaze) every 4 hours prn for pain and lorazepam (Ativan) every hour prn for agitation
The last dose was given 3 hours ago. The patient's respiratory rate is 22 per minute with full depth. What is the best nursing action? A) Obtain an order for meperidine (Demerol) to prevent sphincter of Oddi spasm. B) Administer IV fentanyl now, as the patient is in pain. C) Administer IV lorazepam for agitation. D) Consult the physician for an increase in fentanyl frequency.
The nurse documents on the patient's chart that he is experiencing orthopnea, which that he is having difficulty breathing:
A) Without use of oxygen B) While sitting upright C) With movement D) When lying flat
A patient is about to begin therapy with fingolimod [Gilenya] to treat multiple sclerosis. The nurse learns that the patient has not had chickenpox or the varicella zoster virus (VZV) vaccine. What will the nurse do?
a. Advise the patient to avoid individuals with chickenpox. b. Give the VZV vaccine with the initial dose of fingolimod. c. Give the VZV vaccine and tell the patient to begin using fingolimod in 1 month. d. Obtain an order for a VZV antibody test.
A 20-year-old female is being admitted for electrolyte disorders of unknown etiology. Which assessment finding is most important to report to the health care provider?
a. The patient uses laxatives daily. b. The patient's knuckles are macerated. c. The patient's serum potassium level is 2.9 mEq/L. d. The patient has a history of large weight fluctuations.