A group of novice nurses are working with a mentor in a simulation lab to better develop their clinical reasoning skills. Which questions should the nurses answer before providing care to their "client"? (Select all that apply.)
A) What assessment data are relevant?
B) What is the underlying pathophysiology of the primary problem?
C) Do we need to modify the plan of care?
D) Which body system needs our primary attention?
E) What complication should we anticipate?
B, D, E
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To decrease glandular cellular activity and prostate size, an 83-year-old patient has been prescribed finasteride (Proscar). When performing patient education with this patient, the nurse should be sure to tell the patient what?
A) Avoid the use of saw palmetto. B) Decrease the intake of fluids to prevent retention. C) Have a penile implant for erectile dysfunction. D) Prepare for transurethral needle ablation.
A client tells you that she is afraid to quit her stressful job at a daycare center because she doesn't think she has any marketable skills. Which therapeutic communication technique would be helpful to use in this situation?
A) Giving broad openings B) Offering a general lead C) Giving information D) Voicing doubt
The nurse is receiving report on patients assigned for the next shift. Which patient should the nurse observe first?
a. A patient who has a pressure ulcer who is due for a dressing change b. A patient with diabetes who has a blood sugar of 85 and is eating lunch c. A patient with cellulitis who is receiving the first dose of IV antibiotics and who is reporting a feeling of tightness in the throat d. A patient with sickle cell anemia who is receiving a monthly transfusion of a unit of packed red blood cells who is reporting left knee pain
A nurse who is evaluating a patient's arterial blood gases (ABGs) has determined that the patient's pH is acidic. What is the next question the nurse would ask in this interpretation?
1. Is the patient symptomatic of an acidic condition? 2. Which individual ABG component matches the pH acid-base state? 3. Is the PaCO2 within normal range? 4. Is the acidosis compensated or uncompensated?