A visiting nurse observes signs of anxiety and stress in a newly widowed elderly client who lives alone. The MOST likely plan of intervention would be to:
a. commit the client for involuntary inpatient treatment
b. provide resources to maintain a safe, comfortable, familiar home environment
c. refer the client for psychoanalysis
d. call a family meeting to plan transfer of the client into an assisted-living facility
B
The visiting nurse would plan to provide the resources needed to maintain a safe, comfortable, and familiar home environment. For the client in this situation, the death of her husband and living alone places her at risk of experiencing both mental and physical frailty.
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The nurse explains to the parents that their child is in the prodromal stage of varicella. What does this mean?
a. The child is now immune to varicella. b. The child has varicella but has not yet broken out. c. The child is infected with varicella but is not contagious. d. The child does not have varicella but has been exposed to it.
The clinic nurse sees a patient and her infant in the clinic for their 2-week follow-up visit. The woman appears to be tired, her clothes and hair appear unwashed, and she does not make eye contact with her infant. Which question would be most appropriate for the nurse to ask?
A. "Do you have help at home?" B. "Is there anything wrong with your son?" C. "Tell me about the first few days at home." D. "What has happened? You look awful!"
The parents of a 7-year-old girl with type 1 diabetes has been recording her blood glucose measurements before meals and at bedtime for the past 4 days; they are as follows:
Monday Tuesday Wednesday Thursday B: 120 mg/dL 135 mg/dL 124 mg/dL 200 mg/ dL L: 110 mg/dL 120 mg/dL 140 mg/dL 220 mg/dL D: 90 mg/dL 140 mg/dL 130 mg/dL 200 mg/dL Bed: 110 mg/dL 110 mg/dL 160 mg/dL 240 mg/dL The parents bring the child in for a follow-up visit and show the nurse the results. Based on the results, the nurse would need to obtain additional information from the parents and child about which day? A) Monday B) Tuesday C) Wednesday D) Thursday
A 25-year-old primigravida is in the first stage of labor. She and her husband have been holding hands and breathing together through each contraction
Suddenly the woman pushes her husband's hand away and shouts, "Don't touch me!" This behavior is most likely a. Normal and related to hyperventilation b. Common during the transition phase of labor c. A sign that she needs analgesia d. Indicative of abnormal labor