The client states, "I cannot receive blood transfusions, because it is against my beliefs. I am concerned about having this surgery." What is the nurse's best response?
a. "You should allow your health care team to do whatever is needed."
b. "The blood supply in this country is the safest in the world."
c. "There really is nothing unacceptable about blood transfusion."
d. "There are good alternatives to transfu-sions that we can discuss."
D
The client's rights and wishes should be respected while accurate information is provided for reassurance. In this case, stating that there are alternatives to transfusions is the best response. The health care provider should not attempt to persuade the client to go against his or her wishes or religious beliefs. Even though the blood supply is safe, the nurse should realize while working with the client that this is not the issue. The nurse should not try to change the client's views or practices.
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A cardiovascular patient with a previous history of pulmonary embolism (PE) is experiencing a sudden onset of dyspnea, rapid breathing, and chest pain
The nurse recognizes the characteristic signs and symptoms of a PE. What is the nurse's best action? A) Rapidly assess the patient's cardiopulmonary status. B) Arrange for an ECG. C) Increase the height of the patient's bed. D) Manage the patient's anxiety.
The patient is an older adult who is receiving treatment for myasthenia gravis. How will the drug dosage have to be adjusted as the patient ages?
a. The dosage will have to be gradually increased. b. The dosage will have to be titrated upwards based on the patient's symptoms. c. The dosage will have to be gradually decreased. d. The dosage will have to be maintained at a consistent level.
The nurse is caring for a patient who has a bloodborne pathogen. The nurse splashes blood above the glove to intact skin while discontinuing an intravenous infusion. The nurse's best next step is to
a. Obtain an alcohol swab, remove the blood with an alcohol swab, and continue care. b. Immediately wash the site with soap and running water, and seek guidance from the manager. c. Delay washing of the site until the nurse is finished providing care to the patient. d. Do nothing; accidentally getting splashed with blood happens frequently and is part of the job.
A psychiatric–mental health nurse is experiencing signs of burnout following a particularly busy and emotionally exhausting series of shifts on the unit. Which of the following actions is most likely to help this nurse cope with burnout?
A) He should set realistic expectations for himself. B) He should take responsibility for others' problems. C) He should ensure that work remains his highest priority. D) He should refrain from expressing his frustrations with his work.