The LPN finds a young man tearfully staring out the window. He says, "I've been in this hospital 23 days out of the last 50. I've lost a lot of pay." To encourage further communica-tion, the nurse's best response would be:
1. "You've lost a lot of work?"
2. "Would you like me to arrange an appointment for you to speak with the social worker?"
3. "How much pay have you lost?"
4. "You are to be discharged at the end of the week and you can return to work."
1
The reflective response encourages the patient to continue. Arranging for a social worker, pointing out his return to work, and inquiry related to lost wages closes communication without responding to the patient's needs.
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For the nurse to assess right ventricular function and venous blood return in the patient, a central venous pressure (CVP) monitoring line is established. The results are a decreased central venous pressure, which indicates:
A) Possible hypovolemia B) Possible hypervolemia C) Right ventricular failure D) Left ventricular failure
Your patient's medical record indicates severe chest trauma and recent onset of subcutaneous emphysema. Upon palpation of the patient's chest, you are most likely to feel
a. beads of air under the skin that pop with the pressure of your fingers, making a crackling sound. b. a hard swollen mass covering the area of trauma. c. air escaping around his chest tube that is being trapped by his bandages. d. air flowing into his subcutaneous tissue as his lungs attempt to reinflate.
Which of the following medications has a direct mood-stabilizing effect for the acute phase of mania within 24 to 72 hours after the first dose?
a. lithium carbonate (Eskalith) b. haloperidol (Haldol) c. valproic acid (Depakene) d. clonazepam (Klonopin)
The nurse caring for a client with a varicocele explains the side effects of this condition. With what disorder is this condition associated?
A) Thyroid disorder B) Infertility C) Undescended testicle D) Epididymitis