You take M.P.'s BP and get 134/82 mm Hg. She asks whether these BP readings are okay
On what do you base your response?
Compare these readings with the national standards and the goal to which you both agreed.
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The nurse is caring for several clients complaining of constipation. A digital rectal examination can be safely performed on the client with a diagnosis of:
1. Transurethral resection of the prostate gland. 2. Myocardial infarction. 3. Increased intracranial pressure. 4. Hiatal hernia repair.
A patient who has had knee surgery tells the nursing student that he is "doing fine" and "doesn't need anything." The student observes that he winces when moving in bed and that he has a worried frown
The student asks him to rate his pain on a numerical scale and then encourages him to take his prn analgesic. Which is true of this interaction? a. The nursing student recognized that the patient's verbal and nonverbal messages were incongruent. b. The nursing student understood that verbal messages outrank nonverbal messages in importance. c. The nursing student realized that affective communication is of lesser importance. d. The nursing student used one-way communication effectively.
The nurse has developed a strong rapport with a client whose medical care necessitates transfusion of multiple units of blood. The client has a religious objection to this treatment even though it is necessary to sustain life
What action should the nurse take? 1. Use the rapport established to influence the client to accept the blood transfusions. 2. Explain the scientific reasons that blood transfusions are necessary and why refusal is dangerous. 3. Encourage the client, the physician, and the client's spiritual adviser to discuss this conflict and any possible alternative therapies. 4. Suggest to the client that as the illness progresses, the blood will probably be transfused despite religious objections.
A client becomes upset after speaking with his wife on the telephone. He begins to pace the floor and rub his chest. The interventions that are collaborative nursing roles are to:
a. console the client b. offer to sit and talk with the client c. obtain an electrocardiogram (EKG) d. assist the client to practice relaxation exercises