Interviewing of potential group members and identifying needs, expectations, and myths are a part of this group stage:
Ans: Pregroup
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A client with an incomplete spinal cord injury is being transferred from intensive care to the neurological trauma unit
The nurse realizes that in order to minimize the risk of the client developing autonomic hyperreflexia, the following interventions should be included in the client's care plan: Select all that apply. 1. Bladder scan post-voiding 2. Strict output monitoring 3. Assessing for abdominal distention 4. Monitoring skin temperature in lower extremities 5. Assessing pulse oximetry levels with vitals
The client is experiencing an episode of hypoglycemia. The nurse understands that the physiological mechanism that should take place to combat this decrease in the blood glucose level is:
1. Decreased cortisol release 2. Increased insulin secretion 3. Decreased epinephrine release 4. Increased glucagon secretion
From culture to culture time often takes on different meanings. In exploring the relationship of time to nursing interventions, the nurse should:
1. Avoid using set times to do procedures, if possible 2. Maintain the set times for treatments and inform the client of the schedule 3. Maintain a flexible attitude when the client requests procedures to be done at specific times 4. Encourage clients to set the times when they would like the nurse to perform nursing care activities.
When obtaining urine for analysis on a patient in the labor and birth unit, the nurse assesses the urine to appear frothy. The nurse interprets this as a sign of possible
a. gestational diabetes. b. infection. c. preeclampsia (toxemia). d. dehydration.