The nurse is working with a client whose mobility is impaired secondary to a fall that resulted in a broken hip. In addition, the client, who has diabetes, is developing problems with her vision and hearing
The client seems increasingly withdrawn and depressed. The nurse determines that the client is at risk for spiritual distress. Which of the following interventions would be most appropriate for the nurse to make at this time?
A) Encourage the client to talk about significant childhood religious experiences
B) Offer to take the client to a revival the nurse's church is holding in the community
C) Read Bible passages to the client that seem particularly relevant to the client's case
D) Explore what the mobility, sight, and hearing changes mean to the client
D
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Patients who shiver
a. are always hypothermic. c. may be normothermic. b. are always hyperthermic. d. always shiver because of pain.
A patient is experiencing anxiety related to drug therapy. Which of the following would the nurse identify as a factor influencing the patient's level of anxiety? Select all that apply
A) Fear B) Severity of illness C) Patient's knowledge level D) Good comprehension of information E) Nonadherence to the plan
A woman is 30 weeks pregnant. She has come to the hospital because her membranes have ruptured. Based on this information, which nursing diagnosis could be made for the mother? Risk for:
1. Impaired gas exchange. 2. Infection. 3. Ineffective individual coping. 4. Fluid volume deficit.
The nurse is providing discharge instructions to a client going home with a T tube after an open cholecystectomy. Goals for teaching have been met when the client says
a. "For drainage that is thick with mucus or blood, I can irrigate the T tube." b. "I will need to milk the tube every 4 hours and record the drainage." c. "The tube can be used to administer stone dissolving medications" d. "This tube will stay in for 1-2 weeks and I should watch for diminishing drai-nage."