A patient with third degree burns on both lower extremities from a house fire has been in the hospital for two weeks. The patient states, "I do not feel like walking today. I am going to stay in bed." What is the best response by the nurse?
A) "I understand. I have days like that too. Go ahead and stay in bed."
B) "I am going to tell the doctor that you were not compliant with the order to get out of bed."
C) "I will allow you to wait until the afternoon, but then you must get up."
D) "It is important for your recovery to walk every day. Let's walk in the hallway for 10 minutes and then get a snack."
D
You might also like to view...
Potassium chloride 40 mEq p.o. b.i.d. in 4 oz juice
What will be an ideal response?
An older adult client voices concerns to the nurse regarding the seemingly continued loss of family and friends to illness and death. The client states, "God is cruel. I have no one anymore
I am too old to make new friends; it's useless, everyone leaves me." Using Erickson's psychosocial theory, the nurse interprets the client's remarks. This client is: 1. Successfully mastering the stage of integrity versus despair. 2. Is having difficulty passing through the stage of generativity versus stagnation. 3. Is experiencing struggles to succeed in the stage of integrity versus despair. 4. Is demonstrating unsuccessful completion of the intimacy versus isolation stage of development.
A patient was extubated in the postanesthesia recovery room prior to transfer to the intensive care unit (ICU). Upon admission to the ICU the patient is sedated, but will arouse when stimulated. Blood pressure is 106/68 mm/Hg, heart rate is 68 and regular, temperature is 97.8°F, and respirations are 12 bpm. The nurse would monitor this patient for which changes in arterial blood gases?
1. Increase in pH and decrease in PaCO2 2. Increase in pH and increase in HCO3 3. Decrease in pH and increase in PaCO2 4. Decrease in pH and decrease in HCO3
In her meta-analysis of 18 quantitative studies of caring actions, Swanson demonstrated that the top five caring behaviors valued by nurses included all of the following EXCEPT
A. Listens to the patient. B. Allows expression of feelings. C. Touches when comforting is needed. D. Knows how to give shots and manage equipment. E. Realizes the patient knows him- or herself best.