The nurse recognizes that clients may have strengths and resources that they can use to combat health threats. These strengths and resources are called:
a. protective factors. c. defense mechanisms.
b. activities of daily living. d. holistic interventions.
A
Protective factors are client strengths and resources that can be used to combat health threats.
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A physician documents that a patient has a scleral icterus. The nurse understands this indicates that the color of the patient's sclera is:
a. red. b. blue. c. green. d. yellow.
The nurse is conducting a reproductive assessment for a pregnant patient. Which findings does the nurse anticipate? Select all that apply
1) Uterine hypertrophy 2) Cervix softening 3) Black discoloration of the cervix 4) Presence of a mucus plug 5) Hardening of the vaginal walls
The nurse is caring for a male patient newly diagnosed with type 1 diabetes mellitus. The patient is not adjusting well to the diagnosis and is refusing to learn how to self-inject insulin
The patient's wife is critical of the patient's refusal to learn; a small argument ensues, and the wife leaves, stating, "I'll be back later when I cool off." What should the nurse do? a. Ask the patient if he would like his wife excluded at visiting time. b. Tell the wife in the hall that her behavior is unacceptable and cannot be tolerated. c. Realize that the wife will be an important part of therapy. d. Tell the patient that he needs to listen to his wife more.
A nurse measuring the arterial oxyhemoglobin saturation (SaO2 or SpO2) of a patient's arterial blood gets a weak signal from the pulse oximeter. What would be the appropriate intervention in this situation?
A) Check vital signs and patient condition. B) If extremity is hot, place a cold compress on the site. C) Shine available light on the equipment to facilitate accurate reading. D) Use a blood pressure cuff to increase circulation to the site.