The home care nurse is caring for a 78-year-old man who has a colostomy and poorly controlled diabetes. The client lives in a small apartment with his wife of 50 years. She is in poor health with severe arthritis
A) All sessions have an educational focus.
B) Sessions are organized into large groups of more than 20 members.
C) All sessions have a focus on nursing care.
D) Sessions encourage socialization and sharing at each session.
D
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During a group session, a client becomes very angry at a comment by another member of the group. The therapist asks why the client became so angry. The group is using:
1. Events for emotional awareness. 2. Interpersonal conflict issues to resolve personal issues. 3. The self-reflective loop. 4. Fear.
What should be the first intervention when a nurse finds that a patient has fallen?
a. Ask the patient to stand up. b. Document the fall according to agency policy. c. Remove or correct the cause of the fall. d. Assess the circumstances of the fall and any injuries sustained.
A client has a blood pH of 7.30 and is being treated with an infusion of sodium bicarbonate. The nurse should assess this client for a possible delayed reaction of increasing levels of which component in the blood?
a. Bicarbonate b. Calcium c. Carbon dioxide d. Glucose
The nurse is inspecting the external genitalia of a male newborn. Which of the following would alert the nurse to a possible problem?
A) Limited rugae B) Large scrotum C) Palpable testes in scrotal sac D) Absence of engorgement