You are caring for a patient in the irreversible stage of shock. What is an essential part of your nursing care?
A) Preparing the family for a long recovery process
B) Giving the patient brief explanations of what is happening
C) Avoiding stimulating the patient by touch
D) Keeping visitors to a minimum
Ans: B
Feedback: As in the progressive stage of shock, the nurse focuses on carrying out prescribed treatments, monitoring the patient, preventing complications, protecting the patient from injury, and providing comfort. Offering brief explanations to the patient about what is happening is essential even if there is no certainty that the patient hears or understands what is being said. Simple comfort measures, including reassuring touches, should continue to be provided despite the patient's nonresponsiveness to verbal stimuli. Option A is incorrect; this patient is not expected to recover. Option D is incorrect; family needs to spend time with a patient who is not expected to recover.
You might also like to view...
A nursing student's current clinical placement is in a large, inner-city hospital that serves patients and clients from a wide variety of cultures. How should the student approach the prospect of working closely with members of another culture?
A) Try to learn as much as she can know about other cultures. B) Arrange to provide care for patients whose cultures are similar to her own. C) Try to identify the cultures that have the healthiest approach to life. D) Explain her own culture to patients and their families whenever possible.
Your patient seems to prefer to have his eldest son make all of his health care decisions. While the family is visiting, the patient explains to you that this is a cultural practice and very important to him. How should you respond?
A) Ask the son to allow the patient to make his own health care decisions B) Explain to the patient that he is responsible for his own decisions C) Work with the team to negotiate informed consent D) Refuse to divulge any information to the eldest son
To qualify for bariatric surgery, persons must have a
A) BMI under 26 with comorbidities. B) BMI over 35 with comorbidities. C) BMI under 52 without comorbidities. D) BMI over 20 without comorbidities.
Thermometer B in the figure reads temperature on the ________ scale.
Fill in the blank(s) with the appropriate word(s).