A nurse is admitting a patient to a hospital unit. When admitting the patient, the nurse should
1. Maintain prolonged eye contact.
2. Address the patient by his or her last name.
3. Speak rapidly when interacting with the patient.
4. Use terms of endearment when conversing with the patient.
ANS: 2
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The client has been in the CCU for several weeks and has been very unstable. One family member stays at the bedside constantly and even naps in a bedside chair
The nurse understands that the family member is exhibiting which family member response to critical illness? A) Exhibiting extreme distrust of the healthcare team B) Seeking evidence for future legal or punitive action C) Trying to maintain a level of control over the situation D) Experiencing extreme fatigue from constant stress
To relieve angina pectoris symptoms, the nurse administers nitroglycerin sublingual to the patient. Which of the following is an action of nitroglycerin?
A) Decreases myocardial oxygen consumption B) Causes venous constriction C) Decreases collateral circulation in the heart D) Causes arterial constriction
A client, aged 25 years, tells the nurse he is living a miserable existence. All his life, he states, he
has thought, felt, and acted like a woman while living in the body of a man. He has lived as a female and dressed in feminine attire for more than a year. He has decided to change jobs so as not to compromise a new identity. The request the client is most likely to make of the physician is a. "Will you order estrogen therapy?" b. "Can you refer me for psychological testing?" c. "Will you alter my medical records?" d. "What should I tell my parents?"
A woman is admitted to the labor unit
The abdominal assessment reveals the following information: breech felt in fundus, fetal back on the right side of the woman's abdomen, directed anteriorly with the small parts of the fetus on the left side and head firmly fixed in the pelvis. The presentation of the baby is: a. LOA, engaged b. LOA, not engaged c. ROA, engaged d. ROA, not engaged