The nurse is helping a family decide to stay with a patient during cardiopulmonary resuscitation. Place in order the steps the nurse will take when helping the family decide. Click and drag the options below to move them up or down
1. Nurse introduces self to the family
2. Nurse explains the patient's current status.
3. Nurse explains the possibly outcome from cardiopulmonary resuscitation.
4. Nurse asks who the decision maker is in the relationship with the patient.
5. Nurse provides the family with options.
6. Nurse asks the family member if they have any questions.
1,2,3,4,5,6
Rationale 1: This is the first step that the nurse would take.
Rationale 2: This is the second step that the nurse would take.
Rationale 3: This is the third step that the nurse would take.
Rationale 4: This is the fourth step that the nurse would take.
Rationale 5: This is the fifth step that the nurse would take.
Rationale 6: This is the sixth step that the nurse would take.
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A depressed patient who is scheduled to receive electroconvulsive therapy this morning asks the nurse, "How is this treatment supposed to help me?" The best reply would be: "Electroconvulsive therapy seems to ____________."
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Using a specific pain intensity scale in the CCU
a. eliminates the need for the subjectivity of the patient. b. allows for one tool for all patient types. c. provides consistency of assessment and documentation. d. is not necessary because all pain is treated equally in the CCU.
In the emergency department, the nurse is caring for a client diagnosed with a hyphema. Which statement by the client indicates a need for further teaching?
a. "When I get home, I can lie flat in bed and turn from side to side." b. "For a few days, I cannot even read a book or watch television." c. "I will need to protect the eye with a patch and shield." d. "I need to stay on bedrest and will try not to make any sudden movement."
During an assessment of the cranial nerves, the nurse asks the client to "Stick out your tongue.". When the client complies, the nurse observes that the tongue deviates markedly to the right side
The nurse documents that the client is exhibiting: 1. An abnormal hypoglossal nerve response. 2. Findings consistent with first cranial nerve damage. 3. A sluggish oculomotor response. 4. Pronounced absence of the Homans' sign.