In caring for a patient who is taking antiinflammatory drugs, the nurse should include which of the following patient teaching points? (Select all that apply.)
1. Check stools for blood.
2. Medications should be taken as ordered.
3. Medications should be discontinued once improvement is experienced.
4. Improvement takes 1 to 2 weeks.
1, 2, 4
These medications should be taken exactly as ordered. Stools should be checked for bleeding. Therapeutic effect may take 1 to 2 weeks.
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Nursing orders, as opposed to physician's orders, prescribe activities that:
a. need an accompanying physician's order. b. must be confirmed by the patient's request. c. may be done independently by the nurse. d. should not be altered or changed.
Becky has delivered twins. The first twin was stillborn, and the second is in the intensive care nursery, recovering quickly from respiratory distress. Becky is crying softly and says, "I wish my baby could have lived"
The most therapeutic response is: a. "Don't be sad. At least you have one healthy baby." b. "How soon do you plan to have another baby?" c. "I have a friend who lost a twin and she's doing just fine now." d. "I am so sorry about your loss. Would you like to talk about it?"
A researcher administers a test of hopelessness to 50 teen mothers in a continuation high school, in order to norm it for a study planned for the subsequent semester. This norming process is part of the approved research protocol
Retesting in two weeks reveals different values for many of the subjects' paired tests. What should the researcher do now, and why? (Select all that apply.) a. Administer the test a third time and see whether there is a trend. The subjects may be becoming more/less hopeless because of an external factor or a Hawthorne effect. b. Calculate statistical tests to determine whether there are about the same amounts of positive change and negative change for the pooled sample, and whether the means are very similar for the two measurements. If so, this represents normal fluctuation of mood. c. After obtaining IRB approval for study revision, ask several of the 50 subjects with large changes about their recent experiences and discover whether there is an underlying reason for the change. d. Use the second value, not the first, for all data analysis. The subjects have evidently re-examined their feelings and discovered new insights. e. Consider the multitrait-multimethod technique for this complex concept. A single measurement doesn't seem to be capturing the concept very well.
Before performing Leopold's maneuver, the nurse would: (Select all that apply.)
1. Have the client empty her bladder. 2. Place the client in Trendelenburg position. 3. Have the client lie on her back with her feet on the bed and knees bent. 4. Turn the client to her left side.