The home health nurse assesses an incarcerated hernia in a 5-month-old infant. The nurse should:
a. Continue to try to reduce the hernia
b. Apply the diaper tightly to support the hernia
c. Contact the case manager to arrange surgical consult
d. Arrange for the child to go to the hospital immediately
C
In the case of a significant finding, the case manager should be notified. Although an incarcerated hernia requires emergency surgery, the case manager will make arrangements.
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A rape victim tells the emergency room nurse "I feel so dirty. Please let me take a shower before the
doctor examines me. I just cannot stand being so filthy.". The nurse should a. arrange for the client to shower. b. give the client a basin of hot water and towels. c. explain that washing would destroy evidence. d. explain that bathing facilities are not available in the emergency department.
Which patient condition indicates that drug therapy for hypothyroidism is effective?
a. The patient is thirsty. b. The patient's weight has been the same for 3 weeks. c. The patient's total white blood cell count is 6000 cells/mm3. d. The patient has had a daily bowel movement for the past 8 days.
A psychiatric nurse is working with a client with generalized anxiety disorder (GAD). Which phenomenon best describes the cognitive theory of GAD?
A) Overuse or ineffective use of ego defense mechanisms results in maladaptive responses to anxiety. B) When an individual feels vulnerable in a given situation, distorted thinking results in an irrational appraisal, fostering a negative outcome. C) The elevations in cortisol that occur during the fight-or-flight response. D) Worry is a learned response to anxiety and serves to keep it within the control of the individual.
The nursing unit director exhibits the definition of leadership in which of the following responses?
a. The nurse manager refers the concern to the director of the department. b. The nurse manager corrects the concern with the patient directly and does not communicate her actions to the staff. c. The nurse manager meets with the staff to discuss the concern and identify solutions. d. The nurse manager tells the staff that they need to correct the situation by tomorrow and leaves the meeting.