The nurse admits a client to the surgical center who is to have surgery in two hours. After obtaining data for the admission paperwork, the client is assisted into a hospital gown and asked:
1. If he has any second thoughts about the procedure.
2. If he needs to use the restroom.
3. If he has any allergies.
4. Who has accompanied him to the center.
2
Rationale: After the client changes, he should be asked to void to empty the bladder. This is not the proper time to question him about second thoughts. Allergies and family present are obtained during the admission paperwork.
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A patient needs to make several challenging life changes to cope with a serious chronic illness. Instead of teaching the patient, the nurse spends time visiting with the patient and inquiring about family life, work, and hobbies
When a new nurse asks the reason for "wasting so much time" with the patient, the first nurse explains, a. "All patients like to feel important and that you are interested in them." b. "I like to establish rapport first before just jumping in and teaching." c. "Knowing more about the patient informs me about possible motivators." d. "When patients view you as friendly, they are more likely to respond."
A nurse manager gives a staff nurse an exceptional appraisal. The other nurses learn of the appraisal and are upset because this nurse has had numerous complaints from peers regarding laziness
The manager informs a colleague the nurse obtained an exceptional appraisal because the nurse "will always work for me when I need extra help to come in." This is an example of which problem in evaluating? 1. Recency error 2. Leniency error 3. Ambiguity error 4. Halo error
A patient has come into the emergency department accompanied by a friend who states that the patient had been acting very strangely and seems confused. The friend states that the patient has diabetes and takes insulin
Which signs of hypoglycemia might the nurse assess? a. Slow pulse rate and low blood pressure b. Irritability, anxiety, confusion, and dizzi-ness c. Flushing, anger, and forgetfulness d. Sleepiness, edema, and sluggishness
The nurse would provide education to the client about decreasing the occurrence of orthostatic hypotension by stating:
a. "Rise slowly in the morning." b. "Do not abruptly stop taking your medication." c. "Wear elastic stockings at all times." d. "Eat a high-carbohydrate snack at night."