A nurse observes a 3-year-old client willingly sharing candy with a sibling. According to Peplau, which psychological stage of development should the nurse determine that this child has completed?
1. Learning to count on others2. Learning to delay satisfaction3. Identifying oneself4. Developing skills in participation
2
Rationale: The nurse should determine that this client has completed the learning to delay satisfaction stage of development, according to Peplau's interpersonal theory. This stage typically occurs in toddlerhood when one learns the satisfaction of pleasing others.
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A patient is transported to the PACU following a surgical procedure in which he received nitrous oxide for general anesthesia. What should the patient be receiving to prevent diffusion hypoxia?
A) Moderate IV sedation B) Reversal agent C) Blood products D) Supplemental oxygen
A nurse infers from data collection that two nursing diagnoses are possible and verifies the nursing diagnoses with the client and family. This nurse is acting to avoid which of the following errors in formulating nursing diagnoses?
1. error in data collecting 2. error in cue clustering 3. error in interpretation 4. overdiagnosing
Which should the nurse understand the reason sodium bicarbonate is prescribed for a client that has overdosed on aspirin?
A. Prevention of ulceration of the gastrointestinal tract B. Prevention of bleeding C. Promotes renal excretion D. Promotes detoxification in the liver
A patient whose spouse recently died is having difficulty falling asleep and does not want to take any prescription medications to induce sleep. How should the nurse respond? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply
1. "Make certain your bedroom is nice and warm." 2. "There are alternative methods to treat insomnia, such as yoga, meditation, and massage therapy." 3. "Eating a large meal at bedtime will help induce sleep." 4. "Avoid caffeinated beverages, nicotine, and alcohol immediately prior to bedtime." 5. "Count sheep after lying down in order to enhance sleep."