The nurse is caring for a patient who underwent a laryngectomy. Which need should the nurse address first?
a. Pain control
b. Family support
c. Communication method
d. Plan for long-term care
C
Pain control and family support are important, but the need of a method of communication is pa-ramount for a new tracheostomy patient to allay anxiety, ensure accurate communication between the patient and the nurse, and make the patient comfortable that nursing staff are attentive. The need for long-term care may not be necessary.
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The laboring client is experiencing a vertex presentation. The nurse would expect the normal presenting part to be the:
a. brow c. occiput b. mentum d. sacrum
The nurse is bathing a hospitalized client who is disoriented and believes he is in a train station. Which response by the nurse is most appropriate?
a. You wouldn't be getting a bath at the train station. b. Let's finish your bath before the train arrives. c. Don't you know where you are? d. It may seem like a train station sometimes, but this is Valley Hospital.
The advanced practice nurse refers the client to physical therapy for further rehabilitation. This is an example of which of the ANA standards of practice?
1. Assessment 2. Diagnosis 3. Planning 4. Implementation
Which of the following statements should the nurse include in the teaching plan regarding safety issues that she is preparing for a group of adult patients?
A) In most age groups, motor vehicle accidents are major causes of death B) Suicide is the leading cause of death in adults and adolescents C) Occupational safety controls for all workplace hazards D) Environmental lead is a primary cause of death in adult patients