A child of a family whose members were injured and who lost their home in a house fire 3 months ago is in the clinic for follow-up care
The nurse concludes that the goals for the child have been met when the parents tell the nurse which of the following? 1. "We have hired an architect to plan our new home.".
2. "We have sent the child back to school and he is doing well.".
3. "We are still living with relatives.".
4. "We are suing the builder for a defect that caused the fire.".
2. "We have sent the child back to school and he is doing well.".
Rationale:
Having the family state that the child is doing well in school indicates that the child has adjusted. Telling the nurse that they are building a new home does not suggest that the child's goal has been met. If the family is still living with relatives, they may still be dealing with grief by not moving on. To sue the builder could be an indication that the family is still in the anger phase of grief.
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The nurse assesses the patient's stool after a bowel movement and notes it to be a tarry-black color. The nurse recognizes that the bleeding is likely occurring in the:
A) Lower GI tract B) Upper GI tract C) Esophagus D) Anal area
What can result if a patient overuses topical decongestants?
a. Hypertensive crisis b. Allergic reaction c. Secondary congestion d. Permanent olfactory damage
What is the mechanism of action of a stimulant laxative?
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A 60-year-old man is admitted to a hospital with acute coronary syndrome. During the admission assessment, he reveals to the nurse that he has had sleeping difficulties for the past 2 years
After testing, it is discovered that the patient has sleep apnea. Which of the following would be the primary nursing diagnosis for this patient related to his sleep condition? A) Impaired Tissue Perfusion B) Readiness for Enhanced Sleep C) Disturbed Sleep Patterns D) Fatigue