A client who has undergone excision of a parotid gland tumor is experiencing facial weakness on the operative side. What is the nurse's best response?
A. "You may be experiencing a slight stroke, and I will notify the doctor."
B. "You are experiencing paralysis of cranial nerve X because of the surgery."
C. "This is a temporary condition that will resolve once radiation treatment is be-gun."
D. "You are experiencing weakness related to involvement of the facial nerve during the surgery."
D
Cranial nerve V involvement is a possible outcome of this type of surgery. The client presents with facial weakness and possibly loss of sensation to the affected side.
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The barrier in the therapeutic relationship based on the caregiver's inappropriate emotional responses to the client is called
1. transference. 2. transposition. 3. counter-response. 4. countertransference.
A 43-year-old, physically fit, healthy woman who is newly married tells the nurse that she and her husband would like to have a child. What is an appropriate first response?
A) "You must know that's pretty risky. Have you thought about adopting instead?" B) "Well, I'm sure you know there are some risks involved so it's helpful that you've been taking such good care of yourself." C) "You're in great shape now, but are you sure that at your age you'll have enough energy to care for a child?" D) "If you got pregnant now you'd be at risk for multiple fetal pregnancies, chromosomal abnormalities, spontaneous abortion, and hypertension among other things. Are you ready to take that risk?"
An infant born with an omphalocele defect is admitted to the intensive-care nursery. Which instruction from the nurse manager to the unlicensed assistive personnel is most appropriate?
1. Prepare a warmer. 2. Prepare a crib. 3. Prepare a feeding of formula. 4. Prepare the bilirubin light.
The nurse is aware that the initial entry to deep sleep is:
a. stage 1 NREM. b. stage 3 NREM. c. stage 5 NREM. d. REM sleep.