After cleaning a client's bedside table, the nurse notes that the client seems upset. The nurse realizes that which of the following had been violated:
1. Personal space
2. Territory
3. Professional boundaries
4. Personal values
2
Rationale: Personal space is the distance people prefer in interactions with others.
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The mean of the following set of numbers (12, 4, 13, 20, 4, 10, 14) is:
a. 4. b. 10. c. 11. d. 17.
What important immediate postoperative care practice should the nurse remember when caring for a woman who has had a mastectomy?
1. Do not apply the blood pressure cuff to the affected arm. 2. It is best to perform venipuncture for bloodwork on the affected arm. 3. It is best to use the affected arm for IV therapy. 4. The affected arm should be held down close to the woman's side.
A 58-year-old patient who has undergone a radical vulvectomy for vulvar carcinoma returns to the medical-surgical unit after the surgery. The priority nursing diagnosis for the patient at this time is
a. risk for infection related to contact of the wound with urine and stool. b. self-care deficit: bathing/hygiene related to pain and difficulty moving. c. imbalanced nutrition: less than body requirements related to low-residue diet. d. risk for ineffective sexual pattern related to disfiguration caused by the surgery.
A client who has been physically aggressive arrives at the emergency room for a psychiatric assessment. The best approach by the nurse would be to:
A) Have a sense of humor to show a lack of fear. B) Provide close contact to increase the client's sense of safety. C) Use brief statements and questions to obtain information. D) Use open-ended questions so the client can elaborate.