A woman tells the BSN-prepared community health nurse that she and her son fight all the time
since the son started using drugs. The son tells his mother when she counsels against drug use that
his drug use is none of her business.
The most effective nursing intervention would be to
a. arrange drug detoxification and rehabilitation for the son.
b. provide family therapy for both son and mother.
c. turn the son in to the police.
d. arrange a referral to a family counselor.
D
A BSN-prepared nurse is not able to conduct family therapy but can determine the need for referral
to counseling. Option A is premature. Option C is not a nursing intervention.
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A patient requires ongoing treatment and infection-control precautions because of an inherited deficit in immune function. The nurse should recognize that this patient most likely has what type of immune disorder?
A) A primary immune deficiency B) A gammopathy C) An autoimmune disorder D) A rheumatic disorder
A patient is rehabilitating after a severe burn 6 months ago that left her with scars across her chest and abdomen. She says, "I don't care what people think, I am going to the beach in a bikini next week." What most important information should the nurse provide?
1. "This may be difficult since you are still supposed to be wearing your compression garment." 2. "You need to avoid sun exposure to your scars for at least one year." 3. "You should prepare yourself for how others will react to your scars." 4. "Remember that you are prone to getting too hot easily."
The nurse is caring for a 64-year-old patient admitted with mitral valve regurgitation. Which information obtained by the nurse when assessing the patient should be communicated to the health care provider immediately?
a. The patient has bilateral crackles. b. The patient has bilateral, 4+ peripheral edema. c. The patient has a loud systolic murmur across the precordium. d. The patient has a palpable thrill felt over the left anterior chest.
Lithium is prescribed for a new patient. Which information from the patient's history indicates that monitoring serum concentrations of the drug will be challenging and critical?
a. Arthritis b. Epilepsy c. Psoriasis d. Congestive heart failure