When providing care for a family who has a child with a disability, who would most likely to report high levels of stress, anxiety, and depression?
a. Mother
b. Father
c. Teacher
d. Home health nurse
ANS: A
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Which precaution is most important for the nurse to teach the client with HIV disease who is prescribed to start taking enfuvirtide (Fuzeon)?
A. "Rotate the injection site." B. "Take your temperature twice daily." C. "Do not rub or massage the injection site." D. "Report any change in urine color to your health care provider."
A preoperative patient is a two-pack-a-day smoker. What type of nursing diagnosis does the patient have related to airway problems during and after surgery?
A) Actual B) Potential C) Possible D) Collaborative
A reliable measure is one that minimizes the error component of an obtained score
A) True B) False
An 84-year-old woman had leg ulcers that required long-term treatment because of her diabetes, which did not allow the ulcers to heal quickly. One day, the client was apparently
angry at the nurse's lateness for their scheduled appointment and refused to let the nurse enter the house. What would be the best action for the nurse to take, if any? A. Accept that the client has the right to deny consent but try to visit later when she may not be quite so upset. B. Call a legal consult because the client has obviously lost the ability to make rational decisions. C. Demand the client sign an "against medical advice" slip or else change the dressings, using coercion as necessary. D. Walk away, document the client's refusal, and accept the client's decision.