A family actively participates in school functions with all their children, one of whom is paraplegic, and requires a wheelchair for mobility. The nurse evaluates this family to be working on the process of:
1. Stagnation.
2. Normalization.
3. Isolation.
4. Interaction.
2
Rationale:
1. The family is not staying at home because one member cannot walk.
2. The family is normalizing their life with their children by their activities.
3. The family is moving on to full participation in life.
4. The family is interacting with others through the process of normalization.
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A patient is concerned about leakage of gastric contents out of the gastric sump tube the nurse has just inserted. What would the nurse do to prevent reflux gastric contents from coming through the blue vent of a gastric sump tube?
A) Prime the tubing with 20 mL of normal saline. B) Keep the vent lumen above the patient's waist. C) Maintain the patient in a high Fowler's position. D) Have the patient pin the tube to the thigh.
Which of the following best describes the goal or priority of the nurse advocate?
a. To gain organizational and governmental support for the promotion of nursing objectives b. To improve community service needs identified by research findings c. To integrate evidence-based practice guidelines in the provision of community nursing service d. To promote the client's rights and self-determination
A nurse is monitoring a client who is receiving moderate sedation during a breast biopsy. Which symptom should the nurse assess first?
a) Coarse crackles in both upper lobes b) Mild bleeding at the surgical site c) Lower back pain d) Heart rate of 84 beats/minute
A patient taking fluphenazine (Prolixin) complains of dry mouth and blurred vision. What would the nurse assess as the likely cause of these symptoms?
a. Decreased dopamine at receptor sites b. Blockade of histamine c. Cholinergic blockade d. Adrenergic blocking