The post-CVA patient in the rehabilitation phase accidentally knocks the adapted plate from the table and bursts into tears after failing to feed himself. The nurse's best response would be:
1. "Don't cry. You'll be mastering eating in no time."
2. "I don't believe crying will help. Let's try drinking from a special cup."
3. "Bless your heart! Let me get a new meal and feed you."
4. "Learning new skills is hard. Let's see what may have caused the trouble."
4
Recognizing effort and showing support are the best approaches to depression and frustra-tion. "Babying" the patient and admonitions against crying add to the problem.
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When suggesting dietary modifications for a client with gastrointestinal (GI) tract disorders, the nurse advises the client to limit high-fat foods and replace some dietary fat with medium-chain triglycerides
Why should the nurse encourage the client to use medium-chain triglycerides (MCTs)? A) To reduce symptoms of nausea C) To decrease the risk of aspiration B) To minimize the feeling of fullness D) To minimize diarrhea
When assessing a patient's social skills, which remark would serve the nurse best?
a. "It sounds as if you need to develop some assertiveness skills." b. "Describe an example of a time when you felt uncomfortable in a social situation." c. "It is not easy to be assertive. We can role-play some situations to give you practice." d. "What do you plan to do the next time you find yourself in an uncomfortable social situation?"
A client has a wound that is going to heal through secondary intention. When instructing the client about this wound, the nurse would include which statements?
1. Minimal tissue loss. 2. Closure of the wound will occur within 5 days. 3. Healing time will be longer. 4. Potential for scarring is greater. 5. Susceptibility to infection is greater.
The nurse is caring for a client who is prescribed to have labor induced with oxytocin. Which assessments must be completed by the nurse before initiating the oxytocin infusion? Select all that apply.
A. Record the fetal heart rate for 15 minutes. B. Obtain the client's pain level. C. Explain to the client that she should expect to be nauseated. D. Determine the client's hydration status. E. Apply the tocodynamometer and observe for any contractions.