Which action should a nurse implement to make a patient with atopic dermatitis more comforta-ble?
a. Instruct the patient to wear loose clothing.
b. Add alcohol to the bath water.
c. Provide a diet low in fat.
d. Increase the room temperature between 78° F and 80° F.
A
Loose clothing and a cool atmosphere allow the skin to stay cool and reduce sweating. Alcohol is drying to the skin.
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You are caring for a middle-aged woman who is suffering from major depression and melancholia. She expresses her "failure as a wife and mother" and that she "deserves to die." Your first priority to this patient is to:
A) Reassure her that she is a very good wife and mother B) Tell her that her illness is not a punishment and she does not deserve to die C) Divert her to other activities to get her mind off herself D) Protect and monitor her for suicidal tendencies
The nurse is caring for an African-American patient who is taking warfarin (Coumadin) to prevent blood clots. The nurse will monitor this patient carefully for which effect?
a. Decreased therapeutic effects b. Heightened risk for hemorrhage c. Increased risk of hypersensitivity d. Potential risk of paradoxical effects
Which statement can a nurse use to best describe the Stuart Stress Adaptation Model to someone who is unfamiliar with it?
a. "The model recognizes the limitations of the nursing process and organizes treatment along critical pathways.". b. "The model bases psychiatric nursing practice on principles derived from nursing science and establishes generic goals for each discrete stage of psychiatric treatment.". c. "The model integrates biopsychosociocultural, environmental, and legal-ethical aspects of psychiatric nursing care into a unified framework for practice throughout the care continuum.". d. "The model is based primarily on the medical model and organizes psychiatric nursing practice according to discrete treatment stages, selected treatment settings, and legal mandates.".
The nurse is scheduling a client for an external cephalic version (ECV). Which finding in the client's chart requires immediate intervention?
1. "Multipara, transverse lie." 2. "Primipara failed ECV last week." 3. "Primipara, frank breech ballotable." 4. "Multipara, 32 weeks, complete breech."