While changing a patient's abdominal dressing, the nurse talks about aspects of wound care such as the need to check the skin and protect the wound from infection or injury
The nurse and patient are in which phase of the nurse-patient relationship? 1. Orientation
2. Working
3. Caring
4. Termination
2
Rationale 1: The orientation phase is the first phase of the relationship, in which introductions occur and the trusting relationship begins to develop.
Rationale 2: The working phase of the nurse-patient relationship describes the participation of both patient and nurse in interventions to achieve mutually agreed-upon goals. Most patient education occurs during this phase.
Rationale 3: Although the nurse-patient relationship takes place in a context of caring, there is no specific phase known as the caring phase.
Rationale 4: In the termination phase, the nurse and patient review what has occurred during the working phase and the progress toward goal achievement.
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It has been determined that a patient in the ICU has pleural effusion. Which intervention is needed at this point to distinguish between transudative and exudative pleural effusion?
A) Chest x-ray B) CT scan C) Ultrasound D) Assessment of pleural fluid
A female older adult client has presented with a new onset of shortness of breath, and her physician has ordered measurement of her brain natriuretic peptide (BNP) levels along with other diagnostic tests
What is the most accurate rationale for the physician's choice of blood work? A) BNP is released as a compensatory mechanism during heart failure, and measuring it can help differentiate the client's dyspnea from a respiratory pathology. B) BNP is an indirect indicator of the effectiveness of the renin-angiotensin-aldosterone (RAA) system in compensating for heart failure. C) BNP levels correlate with the client's risk of developing cognitive deficits secondary to heart failure and consequent brain hypoxia. D) BNP becomes elevated in cases of cardiac asthma, Cheyne-Stokes respirations, and acute pulmonary edema, and measurement can gauge the severity of pulmonary effects.
The most common type of scaling procedure used in the measurement of psychosocial characteristics is the Semantic Differential Scale
A) True B) False
Circumscribed areas of pathological tissue such as macules, nodules, and pustules are termed ________.
Fill in the blank(s) with the appropriate word(s).