A patient has recently been weaned off mechanical ventilation after 3 weeks of treatment. The patient is now refusing to have the ventilator removed from the room. What type of alteration is the patient experiencing?
a. Disturbed self-esteem c. Hopelessness
b. Regression d. Disturbed body image
D
Body image disturbances arise when disruption exists in the way individuals perceive their bodies. Patients temporarily requiring mechanical ventilation must extend their body images to include the ventilator. When the ventilator is no longer needed, the patient should no longer perceive the ventilator as part of the self. Illness robs a person of perspective, often leading to low self-esteem and feelings of powerlessness, helplessness, and depression. Low self-esteem impairs one's ability to adapt.
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An older adult female patient is receiving the progestin drug megestrol (Megace). Which is the most likely reason megestrol is ordered for this patient?
a. Migraine headaches b. Osteoporosis c. Appetite stimulant d. Reduction of hot flashes
A qualitative research report written as a confessional tale is
a. a real-life account that incorporates many details about the individuals studied. b. a personalized account written from the researcher's viewpoint. c. a type of auto-ethnography. d. a personal narrative in the voice of the participants studied.
A nurse caring for a client with leukemia who is undergoing chemotherapy reviews the latest laboratory results and notes that the neutrophil count is below 500 cells/mm3. Which of the following interventions does the nurse implement on the basis of this finding?
A. Providing a soft toothbrush for oral care B. Monitoring the client's oral temperature C. Maintaining sterile occlusion of intravenous (IV) catheters D. Requiring the client to use an electric shaver rather than a razor E. Performing meticulous skin decontamination before venipuncture F. Avoiding overinflation of the blood pressure cuff and rotating the cuff among several sites when measuring the blood pressure
Which action is required by the nurse prior to putting the bed or chair exit safety-monitoring device in place?
1. Obtaining a health care provider's order 2. Documenting the use of the alarm system 3. Testing the alarm 4. Applying the leg band or sensor pad