An intensive care unit nurse does not notice the noise within her environment. However, the client's family member states, "How can you stand it in here? The lights, sounds, and activity would drive me crazy and I couldn't take it."
The nurse has adapted to her:
A) intensive care unit work.
B) intensive care unit environment.
C) threatening stimuli.
D) nursing career.
Ans: B
Feedback:
Sensory stimulation in the environment affects sensory perception. After routine exposure to stimulation, the body adapts.
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The nurse is caring for a woman with epidural anesthesia for pain control during a vaginal delivery. A risk for injury related to epidural anesthesia has been identified by the nursing staff. What interventions are appropriate for the nurse to implement related to this diagnosis? (Select all that apply.)
a. Assess leg movement and sensation before ambulating. b. Administer antibiotic as ordered. c. Observe for signs of impending birth. d. Provide sacral pressure as needed. e. Assess fetal position frequently.
When preparing for a performance appraisal, a nurse is asked to reflect upon how he has demonstrated respect for cultural diversity in his practice. Which statement reflects a good understanding of cultural competence in his practice?
a. He says he is respectful of his colleagues and does not identify when they are discriminatory, as this is up to them to determine. b. He says he is respectful of patients when they are not of the same cultural background as he is, but refuses to care for the patient. c. He says he has participated in a learning session on communication skills and cultural norms. d. He says he has read about learning sessions on communication skills and cultural norms.
A patient who is having false labor most likely would have: Note: Credit will be given only for all correct choices and no incorrect choices. Select all that apply
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A nurse assessing a patient with an ostomy appliance documents the condition "prolapse" in the patient chart and notifies the physician. Which of the following statements describes this condition?
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