A school-aged child appears to be very brave about having blood drawn, but when the blood is actually being, drawn he begins to cry and pulls away. Which response would best demonstrate an understanding of his needs?
A) "It's okay to cry; I know having your blood tested hurts."
B) "I know it hurts, but if you hold still, it will soon be over."
C) "Big boys don't cry. Let me see how brave you can be."
D) "I will have to hold you down if you can't behave."
A
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A client with chronic paranoid schizophrenia was recently referred to a psychosocial rehabilitation "clubhouse" program following discharge from the inpatient psychiatric unit
Which of the following client goals is most appropriate for this situation? 1. The client will attend recreational and educational group activities on a daily basis. 2. The client will obtain food, clothing, and transportation services. 3. The client will obtain a sponsor and attend weekly AA meetings. 4. The client will identify career goals and develop a resume of job experiences.
A patient is admitted to the hospital with signs of an ectopic pregnancy. The nurse modifies the care plan to include:
a. long-term bed rest. b. episodes of extreme hypertension. c. surgery to remove the embryo/fetus. d. risk for dehydration.
A nurse is assessing a client who recently returned from a camping trip. The client is experiencing edema in the right foot. When assessing the foot, the nurse notes a sore and suspects cellulitis
Which further data will the nurse assess to support the suspicion? A) BUN and creatinine B) Breath sounds C) Blood cultures D) Redness, pain, and drainage at the site
In an exercise program for weight reduction in a hypertensive client, the nurse would discourage the use of heavy weights because this may cause
a. lactic acid buildup. b. muscle strain. c. rapid vasodilation. d. vasovagal response.