_____ often occur(s) during the initial ICU visit by the family
a. Sensory deprivation
b. Discharge teaching
c. Repeated questioning
d. Stress and anxiety
D
The ICU environment and the large amount of information that is transferred during the initial visits can cause information overload for both patients and families. Sleep deprivation and sensory overload add to the complexity of the issues that affect the patient's ability to receive and understand medical information. Mental alterations may limit the effectiveness of the teaching-learning encounter. These physical and cognitive limitations prevent patients from receiving or understanding information related to their care and impairs their ability to make informed decisions.
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The mother of a 45-year-old patient is a retired physician and requests to discuss the patient's plan of care with the nurse caring for the patient. What is the nurse's best response to this re-quest?
a. "I will need to ask permission from my supervisor before I can share that infor-mation." b. "I will show you the chart, just follow me and we can discuss your questions and concerns." c. "I would suggest that you leave me out of your family problems. I am here to care for the patient." d. "I will have to get the patient's permission before I can share that information."
The nursing student is formulating a nursing care plan for a patient with pneumonia. The care plan is directed toward meeting the potential oxygenation needs of the patient
Which of the fol-lowing examples would be the best way for the nursing student to write an expected outcome for the care plan? a. "The patient will have less pain." b. "The patient will be able to breathe bet-ter." c. "The patient's pulse oximetry reading will remain greater than 92%." d. "The patient's interactions will be normal."
The most important diet guideline for older clients with diabetes mellitus to follow is
A) consistently eat at regular times including meals and snacks. B) eliminate as much fat from the diet as possible. C) include foods rich in calcium at every meal. D) include the majority of the caloric intake in the morning meal.
A nurse is caring for a client with deteriorating neurologic status. The nurse is performing an assessment at the beginning of the shift that reveals a falling blood pressure and heart rate, and the client makes no motor response to stimuli
Which documentation of neuromuscular status is most appropriate? A) Abnormal posture B) Flaccidity C) Weak muscular tone D) Decorticate posturing