Which of the following nursing interventions would be indicated for a young adult's cognitive development?
a. Encourage the development of healthy life-styles.
b. Encourage the development and use of appropriate judgment.
c. Assess the person's value system and respect beliefs.
d. Teach time management skills.
B
Encourage the development of healthy lifestyles would support physiological development. Encourage the development and use of appropriate judgment would support cognitive development. Assess the person's value system and respect beliefs would support moral development. Teach time management skills would support psychosocial development.
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The nurse is assessing a 16-year-old female for characteristics of anorexia nervosa. Which assessment finding(s) would lead the nurse to suspect the possibility of this diagnosis? (Select all that apply.)
a. Amenorrhea b. Severe weight loss c. Oily skin d. Hypertension e. Lanugo on back
The nurse is preparing to discharge a patient after thoracotomy. The patient is going home on oxygen therapy and requires wound care. As a result, he will receive home care nursing. What should the nurse include in discharge teaching for this patient?
A) Safe technique for self-suctioning of secretions B) Technique for performing postural drainage C) Correct and safe use of oxygen therapy equipment D) How to provide safe and effective tracheostomy care
The perinatal nurse knows that the lowest portion of the true pelvis is the:
A) Pelvic outlet B) Sacral promontory C) Linea terminalis D) Sacrum
The time is 1900. You are working in a small, rural hospital. It has been snowing heavily all day, and the medical helicopters at the large regional medical center, 4 hours away by car (in good weather), have been grounded by the weather until morning
The roads are barely passable. W.R., a 48-year-old plumber with a 36–pack-year smoking history, is admitted to your floor with a diagnosis of rule out myocardial infarction (R/O MI). He has significant male-pattern obesity ("beer belly," large waist circumference) and a barrel chest and reports a dietary history of high-fat food. His wife brought him to the emergency department after he complained of unrelieved "indigestion." His admission vital signs (VS) were blood pressure (BP) 202/124 mm Hg, pulse (P) 106 beats/min, respirations 18 breaths/min, and oral temperature 98.2 ° F (36.8 ° C). W.R. was put on oxygen (O2) by nasal cannula (NC) titrated to maintain Spo2 over 92% and started on an IV nitroglycerin (NTG) infusion. He was given aspirin 325 mg to chew and swallow and was admitted to Dr. A.'s service. There are plans to transfer him by helicopter to the regional medical center for a cardiac catheterization in the morning when the weather clears. Meanwhile, you have to deal with limited laboratory and pharmacy resources. The minute W.R. comes through the door of your unit, he announces he's "just fine" in a loud and angry voice and demands a cigarette. He also says he has no time to fool around with hospitals. What is the first priority in his care? Are these VS reasonable for a man of his age? If not, which one(s) concern(s) you? Explain why or why not. Identify five priority problems associated with the care of a patient such as W.R.