A female client tells the nurse, "I see how people look at me with my crooked back and short leg. No one has to tell me that I'm not pretty." The nurse realizes this client is exhibiting:
a. An overinflated sense of self-esteem
b. A well-developed self-concept
c. An overactive imagination
d. A low self-concept
D
Self-concept forms out of a person's evaluation of his physical appearance, intellectual ability, success in the workplace, friendship, and approval from others. A person with a low self-concept has a mostly negative perception of these evaluations of self. A low self-concept may cause withdrawal from social interactions and make it difficult to form relationships.
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When assisting with the placement of a pulmonary artery (PA) catheter, the nurse notes that the catheter is correctly placed when the monitor shows a
a. typical PA pressure waveform. b. tracing of the systemic arterial pressure. c. tracing of the systemic vascular resistance. d. typical PA wedge pressure (PAWP) tracing.
A woman whose sister-in-law died of cancer is herself diagnosed with breast cancer after a mammogram. Her doctor has advised a lumpectomy followed by radiation and chemotherapy
The patient is awaiting surgical, oncology, and radiation consults and is scheduled for surgery the day after tomorrow. She tearfully tells the nurse, "I keep thinking about how there is something growing inside me that could kill me. It's like living with a bomb inside you, and you don't know if or when it's going to go off.". Which nursing intervention would be most likely to be helpful? a. Interact frequently with the patient, and provide books and games to help her stay busy and distract her from her negative thinking. b. Validate her feelings, and with her permission, have a member of a breast cancer survivor's support group visit her in her hospital room. c. Provide support and validate her feelings, then offer to have the hospital chaplain stop by to talk with her. d. Sympathize with her concerns, but remind the patient that she has not even had the surgery yet, and the treatments may well rid her of cancer.
The nurse planning care for the client who had a repair of a uterine prolapse 2 days ago would include which intervention?
a. Encouraging a low-fiber diet b. Having the client void every 2 hours c. Keeping the client on bed rest d. Performing routine Foley catheter care
A nurse is caring for a diabetic patient with a bowel obstruction and has orders to ensure that the volume of intake matches the output
In the past 4 hours, the patient received dextrose 5% with 0.9% sodium chloride through a 22-gauge catheter infusing at 150 mL/hr and has eaten 200 mL of ice chips. The patient also has an NG suction tube set to low continuous suction that had 300 mL output. The patient has voided 400 mL of urine. After reporting these values to the physician, what orders does the nurse anticipate? a. Add a potassium supplement to replace loss from output. b. Decrease the rate of intravenous fluids to 100 mL/hr. c. Discontinue the nasogastric suctioning. d. Administer a diuretic to prevent fluid volume excess.