You are caring for a 5-year-old patient who is scheduled for a tonsillectomy in the morning. Both the child and mother are extremely anxious about the upcoming surgery and the mother requests permission to spend the night with the child
You begin to use your decision-making skills to help you to decide what to do next. You have considered the hospital policy, the child and mother's anxiety, and the mother's request. What would be your next course of action? a. Determine the outcomes c. Identify the alternatives
b. Make a decision d. Evaluate your decision
A
Using the decision-making process, since you have already determined that a decision needs to be
made, your next step is to determine the outcomes. The issues to be considered are whether the child
and mother's anxiety will be reduced and whether they will become satisfied consumers of the health
care you provide as a result. Identifying the alternates, making a decision, and evaluating your
decisions are involved in steps 3 through 5 of the decision-making process.
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A patient is undergoing external radiation therapy on an outpatient basis for treatment of Hodgkin's disease. After 2 weeks of treatment, he tells the nurse that he is so tired he can hardly get out of bed in the morning
Which is an appropriate goal for him? a. Frequent rest periods are helpful. b. Exercise vigorously when fatigue is not as noticeable. c. Maintain bed rest until the radiation treatment is completed. d. Consult with a psychiatrist for treatment of depression.
Duffy believes caring relationships are often hidden in the daily work of nursing
Indicate whether this statement is true or false.
An adolescent client with severe cystic acne has been prescribed isotretinoin (Accutane). Which statement by the client would suggest the need for further teaching?
1. "I will return to the clinic for blood tests." 2. "If my lips begin to burn, it is probably because of the medication." 3. "My eyes may become dry and burn as a result of the medication." 4. "I need to take my vitamin A supplement so that the treatment will work."
A healthy 18-year-old client who is at 40 weeks' gestation experiences vaginal expulsion of stringy mucus followed by blood-tinged secretions unaccompanied by discomfort or any other changes. Based upon these findings, what is most likely to occur within the next 24 to 48 hours?
1. Onset of labor 2. Cesarean section 3. Chorioamnionitis 4. Spontaneous abortion