A client is severely injured, sustaining a full-thickness circumferential burn to the left leg, after passing out as a result of drinking alcohol and falling into a fire while on a camping trip. In report, the nurse is told that the client has just signed consent for amputation of the limb and that the procedure is scheduled for tomorrow. While caring for the client, the nurse notes that the client is upset and withdrawn. What is the most appropriate nursing action at this time?
A. Reflecting back to the client that he appears upset
B. Letting the client have some time alone to grieve the impending loss of the limb
C. Reminding the client that the injury was a result of alcohol abuse and referring him for counseling
D. Informing the health care provider of the client's depression and requesting medication to assist the client in coping with the diagnosis
Ans: A. Reflecting back to the client that he appears upset
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The family talks with the nurse about their loved one's activities. What is the nurse aware of regarding these activities? A) The activities could be spiritual in nature and the family would benefit if they were included whenever possible. B) The activities may result in dysfunctional behaviors and denial, which alienates the family. C) The activities represent the need to control her final days by showing the world and her family that she is fine. D) The activities need to be addressed and limited so she spends time with her family, or it will result in dysfunctional grieving when she dies.
A 65-year-old male, although he is having painful symptoms related to a benign enlargement of the prostate, refuses to consider a prostatectomy because he fears that the surgery will make him impotent
What information can the nurse provide as reassurance? a. A prostatectomy will enhance sexual function. b. New techniques for a prostatectomy do not damage nerves. c. The prostate has nothing to do with erection or seminal fluid production. d. Impotence following a prostatectomy is entirely psychological.
Which client is appropriate for an early discharge at 24 hours after delivery?
A. Multipara, has had two successful breast feedings B. Primipara, bottle-feeding, has not voided since delivery C. Multipara, twins delivered at 35 weeks, bottle-feeding D. Primipara, cesarean birth performed for fetal distress