The dysarthric patient seated in the dining room of the long-term care facility yells, "Poon! Poon! Poon!" with increasing frustration. What is the nurse's best response?
a. "Slow down, I can't understand what you are saying."
b. "Are you asking for a spoon?"
c. "Not being able to speak is frustrating."
d. "If you tell me what you want, I will get it."
B
Attempting to interpret the dysarthric communication through questions that can be answered simply will reduce frustration.
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The nurse is caring for an older client who lives with his daughter and is asked by the daughter what the morning lab results were. The nurse's best response is:
1. "Just a minute. Let me just get his chart." 2. "The doctor will give you the results when he visits." 3. "Let me get my instructor to see if it is alright to do this." 4. "I cannot legally share that information unless your father consents."
The nurse is instructing the unlicensed assistive personnel (UAP) to apply a warm compress to the client's knee. Which statement made by the UAP would indicate that further instruction should be given?
1. "I can place the heating pad directly to the client's knee." 2. "I will maintain the proper temperature of the heating pad." 3. "I will inform you of any redness of the skin." 4. "I will report to you when the treatment is over."
To maintain their skill sets, the nurses who provide care in the OR of a large university hospital take turns acting in the circulating role and the scrub role. Which of the following tasks is the sole domain of the scrub nurse?
A) Performing a count of instruments and supplies after surgery B) Monitoring the aseptic technique of the surgical team C) Coordinating the activities of the surgical team D) Setting up a sterile field
Brett has just been diagnosed with pernicious anemia. He comes to you, as the physician's nurse, to give him more information. Discuss the diagnosis of pernicious anemia
a. What is the client lacking to have this disorder? b. What does the body need for nutrition that it is unable to get and why? c. Explain the etiology and pathophysiology of this disorder. d. How is this disorder diagnosed? e. What would you expect to see for signs and symptoms? f. What is the medical management and nursing considerations for this type of client?