The nurse is planning care for a group of clients. Which client should the nurse identify as needing the most assistance in accepting being ill?
a) A 32-year-old woman diagnosed with depression related to lupus erythematosus who discusses her medication's adverse effects with the nurse.
b) A 45-year-old man who just suffered a severe myocardial infarction and talks to the nurse about concerns regarding resuming sexual relations with his wife.
c) A 60-year-old woman diagnosed with chronic obstructive pulmonary disease who refuses to wear an oxygen mask even though poor oxygenation makes her confused.
d) An 8-year-old boy who alternately cries for his mother and is angry with the nurse about being hospitalized after a bike accident.
Ans: c) A 60-year-old woman diagnosed with chronic obstructive pulmonary disease who refuses to wear an oxygen mask even though poor oxygenation makes her confused.
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A patient has reported to the preadmission clinic in anticipation of her scheduled hysterectomy and oophorectomy
The patient states that her health care provider has explained the parameters for fasting prior to her surgery but tells the nurse that she does not entirely understand why she cannot eat or drink before surgery. What explanation should the nurse provide to this patient? A) "It's important to rest your stomach and bowels during and after surgery so that blood flow is concentrated to your vital organs." B) "Your surgeon and anesthetist need your stomach empty during surgery in case there is a need to insert a tube into your throat or stomach." C) "You need to fast before surgery so that the surgical team has a 'clean slate' for managing your fluid balance and nutritional status." D) "You're asked to refrain from eating and drinking so there's less of a chance that you'll inhale food or fluids into your lungs."
A nurse is caring for a client who has esophageal varices. A difference of how many mmHg in orthostatic blood pressure could indicate a change in fluid volume and possible recurrence of varix bleeding?
a. 10 c. 30 b. 20 d. 40
A patient is brought to the emergency department with severe wheezing, dyspnea, and peripheral edema
The nurse assesses a respiratory rate of 30 breaths per minute, a heart rate of 88 beats per minute, and a blood pressure of 88/54 mm Hg. Which medication does the nurse expect to be given initially? a. Albuterol b. Diphenhydramine c. Dopamine d. Epinephrine
The client is receiving oxytocin (Pitocin) for induction of labor. Which assessment finding will most likely result in the nurse stopping the infusion?
1. The client tells the nurse she has a serious headache. 2. The vaginal exam reveals that the client is entering transition. 3. The client reports that the uterine contractions are strong in intensity. 4. Uterine contractions occur every 2 to 3 minutes and last 40 to 60 seconds.