A nurse is counseling a client who has just learned that she is a carrier of the BRCA-2 gene. What are potential reactions by this client?
a. Feelings of guilt
b. Fear of loss of insurance coverage
c. Feelings of anxiety
d. Fear for children
ANS: A, C, D
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The nurse anticipates that an older patient with right-sided heart failure would exhibit which symptoms? Select all that apply.
1. Pallor 2. Edema 3. Wheezing 4. Exertional dyspnea 5. Neck vein distention
What would be the first action by the nurse for a client with a hip arthroplasty when the affected leg was noted to be rotated outward, pale in coloring, diminishing pulses palpated, skin temperature cool to touch, and shortening in length noted?
1. Ask about changes in pain levels. 2. Call the health care provider. 3. Replace the leg and foot to proper alignment with toes upward. 4. Reinforce proper positioning by putting the abductor pillow in place.
A nurse has developed a plan of care with nursing interventions designed to meet specific patient outcomes. The outcomes are not met by the time specified in the plan. What should the nurse do now in terms of evaluation?
A) Continue to follow the written plan of care. B) Make recommendations for revising the plan of care. C) Ask another healthcare professional to design a plan of care. D) State "goal will be met at a later date."
Gloves are easier to put on:
a. At the start of your shift b. When your hands are wet c. When your hands are dry d. If you have lotion on your hands