A nurse is caring for a 70-year-old man who describes his choices for coping with stress as drinking alcohol occasionally and talking to his daughter on the phone. He states he simply has not adjusted to life since retirement
It has been worse since his wife died 2 months ago. He admits to the nurse that he feels helpless. The nurse identifies this client is at risk for
A) paranoia.
B) suicide.
C) dementia.
D) liver failure.
B
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An adolescent comes to the clinic because of a concern with a skin lesion, and is accompanied by a parent. When the adolescent is called back to the exam room, the parent comes with the adolescent
What approach by the nurse would be most appropriate? 1. Allow the parent to come into the exam room with the adolescent. 2. Tell the parent she cannot come into the exam room with the adolescent. 3. Instruct the parent to stay in the waiting room and the adolescent will give her a report on the exam. 4. Reassure the parent that you will talk with her about any of her concerns and questions.
A patient and his family are excited that he is transferring from the critical care unit to the intermediate care unit. However, they are also fearful of the change in environment and nursing staff
To reduce relocation stress, the nurse can: (Select all that apply.) a. ask the nurses on the intermediate care unit to give the family a tour of the new unit. b. contact the intensivist to see if the patient can stay one additional day in the critical care unit so that he and his family can adjust better to the idea of a transfer. c. ensure that the patient will be located near the nurse's station in the new unit. d. invite the nurse who will be assuming the patient's care to meet with the patient and family in the critical care unit prior to transfer.
Which patient is least likely to experience hypoventilation?
a. patient who weighs 350 pounds b. patient who is recovering from gallbladder surgery and is requesting pain medication c. patient who has emphysema and is walking in the hall d. patient who has just had chest tubes inserted for a pneumothorax
The nurse is providing health education to a patient who has a C6 spinal cord injury. The patient asks why autonomic dysreflexia is considered an emergency. What would be the nurse's best answer?
A) "The sudden increase in BP can raise the ICP or rupture a cerebral blood vessel." B) "The suddenness of the onset of the syndrome tells us the body is struggling to maintain its normal state." C) "Autonomic dysreflexia causes permanent damage to delicate nerve fibers that are healing." D) "The sudden, severe headache increases muscle tone and can cause further nerve damage."