A client diagnosed with schizophrenia is laughing and talking while sitting alone. Which of the following is the best response by the nurse?
A) "Can you share your joke with me?"
B) Sit with the client quietly until the client is ready to talk.
C) "Tell me what's happening."
D) "You look lonely here. Let's join the others in the day room."
C
Feedback: This response explores what the client is experiencing and engages the client in reality interaction. Answers A, B, and C are not appropriate responses by the nurse in this situation.
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Which laboratory result in a client with cancer who has gained 2 pounds in 1 day suggests the possibility of SIADH?
A. Serum potassium of 5.2 mmol/L B. Serum sodium of 120 mmol/L C. Hematocrit of 40% D. BUN of 10 mg/dL
The nurse is caring for an older adult client who is newly diagnosed with diabetes and has a low literacy level. Which of the following guidelines for teaching low-literacy clients should the nurse use when working with this client?
a. Teach the largest amount possible in each teaching session. b. Sequence key behavior information last when teaching the client. c. Use symbols and images with which the client is familiar. d. Use words that are abstract and provide teaching in long sentences.
A newborn diagnosed with an omphalocele defect is admitted to the intensive care nursery. Which nursing action is appropriate based on the current data?
1. Placing the newborn on a radiant warmer 2. Placing the newborn in an open crib 3. Preparing the newborn for phototherapy 4. Preparing the newborn for a bottlefeeding
A safety measure that the client should implement in the home environment is:
A. Using fluorescent lighting B. Wearing extra clothing for padding C. Obtaining a large-size fire extinguisher D. Installing more towel bars for support in the shower