A nurse is caring for a client who has hemophilia and experiences pain due to bleeding into the joints. Which of the following interventions would be appropriate for this client?
a. Apply ice and pressure to bleeding sites.
b. Apply warm compresses to bleeding sites.
c. Administer aspirin or nonsteroidal anti-inflammatory drugs (NSAIDs).
d. Immobilize painful joints in an extended position.
A
Medical management consists of administration of clotting factors. Nursing care centers on teaching the client and family how to manage the condition (i.e., how to administer clotting factors prophylactically and if injury occurs), relieving pain when present, and teaching ways to prevent injury.
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When working with immigrant and refugee families, what strategy by the nurse is likely to have the most positive impact?
A. Avoid anticipatory guidance and focus on immediate problems. B. Praise the families often for what they are doing well. C. Refer them to social services agencies that work with immigrants. D. Teach them the laws and customs regarding discipline in the United States.
Which of the following examples represents the type of knowledge known as process? Select all that apply
A) A nurse dispenses medications to clients. B) A nurse changes the linens on a client's bed. C) A nurse studies a nursing journal article on infection control. D) A nurse consults an ethics committee regarding an ethical dilemma. E) A nurse believes in providing culturally competent nursing care.
A nurse speaks at a staff development in-service. Which of the following statements by a nurse participant shows the need for education?
A) "I know that the consequences of racism are still present and they're linked to health disparities." B) "I'm sure the percentage of client-care hours that we spend working with minority clients is bound to increase." C) "There's a huge amount of diversity within the group that's labeled 'Asians and Pacific Islanders.'" D) "It's inaccurate to link the prevalence of particular diseases with particular minority groups."
A newly hospitalized patient has needle tracks on both arms. A friend states that the patient uses heroin daily but has not used in the past 24 hours. The nurse should assess the patient for:
a. slurred speech, excessive drowsiness, and bradycardia b. paranoid delusions, tactile hallucinations, and panic c. runny nose, yawning, insomnia, and chills d. anxiety, agitation, and aggression