Which statement describing the needs of family members of critically ill patients has not been validated by research?
1. "Not knowing is the worst part" of waiting.
2. Families in the waiting room have no effect on patient outcomes.
3. "Hovering" in the proximity phase is characterized by confusion and tension.
4. A unified message from staff minimizes family stressors.
2
Rationale 1: This statement is supported by research and is accurate to the findings about the family needs of the critically ill patient.
Rationale 2: This is an incorrect statement that is not supported by research. In fact the family support has been proven to clinical outcomes.
Rationale 3: This statement is supported by research.
Rationale 4: This statement is supported by research.
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The nurse is closely following a patient who began treatment with testosterone several months earlier. When assessing the patient for potential adverse effects of treatment, the nurse should prioritize which of the following assessments?
A) Skin inspection for growing lesions B) Lung function testing C) Assessment of serum calcium levels D) Assessment of arterial blood gases
A patient being treated for hypovolemic shock after a multiple traumatic event has a blood pressure of 100/50 mm Hg, heart rate of 98 and regular, oxygen saturation of 94%, and a urine output of 50 cc per hour
Which of the following do these assessment findings suggest to the nurse? 1. cautiously optimistic successful traumatic shock resuscitation 2. definitely successful traumatic shock resuscitation 3. continue with traumatic shock resuscitation 4. dire consequences and non-successful traumatic shock resuscitation
Feeding tubes should be placed into the small intestine rather than the stomach if
a. the patient is comatose. b. a regular polymeric formula is being used. c. the patient prefers not to have a tube passing through his or her nose. d. the patient is expected to resume oral feedings within 1 to 2 weeks.
Enteral therapy has been initiated on a client who is now exhibiting nausea and vomiting. Based on this information, what conclusion does the nurse reach regarding the nausea and vomiting?
1. It is caused by irritation of the gastric tube along the stomach serosa. 2. It is caused by an allergic reaction to the feeding. 3. It is caused by the type or amount of feeding. 4. It is caused by a viral agent common to clients with feeding tubes.