For the client with compulsive hand washing, which outcome indicator can be used to evaluate that
social interaction is occurring? The client
a. asks for anxiolytic medication when anxiety increases.
b. spends time talking to staff and clients in the lounge area.
c. decreases the amount of time spent hand washing.
d. sleeps 7 to 8 hours nightly.
ANS: B
The behavior that indicates improved social interaction is spending more time interacting with
others. The other indicators are desirable but not related to improved social interaction.
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A) "I should prick the tip of my finger to get the blood." B) "I should clean my finger with warm, soapy water." C) "I should massage my finger to get a hanging drop of blood." D) "I should avoid smearing the blood on the test strip."
A patient comes to the emergency department with an evisceration after a knife attack. What is the best nursing intervention related to the exposed bowel?
a. Gently replace the bowel into the abdo-minal cavity. b. Place a sterile wrapped sandbag on the abdomen to prevent further evisceration. c. Place the patient in a high Fowler position to allow the bowel to drop back into the abdominal cavity. d. Cover the bowel with a moist saline dressing.
What routine nursing assessment is contraindicated in the patient admitted with suspected placenta previa?
a. Monitoring FHR and maternal vital signs b. Observing vaginal bleeding or leakage of amniotic fluid c. Determining frequency, duration, and intensity of contractions d. Determining cervical dilation and effacement
The nurse is preparing discharge teaching for the parents of a school-age child who was recently receiving patient-controlled analgesia
What should the nurse include when teaching the parents about pain management for this patient? (Select all that apply.) A) Dosing of pain medication B) Frequency of pain medication C) Expected level of pain relief D) Contact number to call with questions E) Technique to insert an intravenous line