You are working with a nurse who is overwhelmed by all the changes in the unit that happened while she was on sick leave. How could you BEST facilitate discussing a plan of self-care for this nurse peer?
a. Encourage her to go to counseling to alleviate distress.
b. Sit with her during breaks, and facilitate peaceful imagery.
c. Invite her to your team support meetings.
d. Remind her that she is a healer and model for others.
B
To assist a nurse who is overwhelmed, an effective strategy is to sit with the nurse during breaks and facilitate peaceful imagery.
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A patient with acute respiratory distress syndrome (ARDS) has these arterial blood gas results: pH 7.33, PaCO2 50, HCO3 26, PaO2 80, SaO2 80
The patient is mechanically ventilated with 60% oxygen and positive-end expiratory pressure (PEEP) at 5 cm H2O. These arterial blood gas results, when compared to the previous day, show no improvement in oxygenation and increased PaCO2 . When the nurse is assessing these results, what is most significant in evaluating the patient's progress? A) Patient isn't responding to conventional ventilation therapy. B) Development of metabolic alkalosis is compensatory. C) Inhaled oxygen and PEEP should be increased. D) Change in acid–base balance is ominous.
A child is exhibiting signs and symptoms of separation anxiety following his parents' divorce. Which of the following behaviors would the nurse expect to assess in the client diagnosed with separation anxiety?
A) Repetitive routines B) Truancy C) Somatic complaints D) Willful defiance of rules
Which of the following patients in your assignment will probably need special oral hygiene?
A) Mrs. Jumer, an unconscious patient with nasal oxygen and a gastrostomy tube B) Mr. Heckendorf, a confused patient with a hip fracture who is receiving PT C) Miss Luna, a 22-year-old patient who had knee surgery this morning D) Dr. Pullman, a confused patient who bathes and dresses with supervision
An older patient with a mobility disorder is being discharged after having a cataract removed as an outpatient. For what should the nurse assess this patient?
A. Ability to ambulate B. Ability to read discharge instructions C. Ability to drive D. Ability to administer eye drops post-procedure