The nurse checks the C-reactive protein for a patient with a bacterial infection and finds it to be elevated, indicating infection or septic arthritis. The nurse knows the normal value is:
A) >l.0 mg/dl.
B)
D) <2.0 mg/dl.
B
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During the assessment of a client with an anxiety disorder, the client becomes very anxious. The nurse should:
1. Suspend data gathering and wait until the next day to resume the assessment. 2. Suspend data gathering and take action to reduce anxiety. 3. Continue data gathering and ask what the precipitating factor for the anxiety is. 4. Continue data gathering and ask clarifying questions.
A delusional client walks up to the nurse and says, "I am the appointed overseer. Who are you and why are you here?" The most therapeutic response is which of the following?
1. "I am your nurse and I will be here to help you until suppertime." 2. "You don't know who I am?" 3. "You know who I am." 4. "You are not the overseer; you are a client in the hospital."
To plan effective nursing care for a client with somatization disorder, the nurse should be aware that
the etiology of somatoform disorders may be related to a. faulty perceptions and assessments of body sensations. b. traumatic memories of childhood events. c. culture-bound phenomena. d. depressive equivalents.
The nurse assesses a patient in active labor and determines that the fetus is in the left occiput posterior position. The patient indicates to the nurse that she does not want an epidural
Which is the best technique for the nurse to include in the patient's plan of care? a. Effleurage b. Sacral pressure c. Progressive relaxation d. Rapid, paced breathing