A 5-year-old patient was in an accident in which his cousin was killed. The patient starts to wet the bed at night
What question should the nurse ask the mother when she confirms that it has been several years since the patient had any difficulty with bedwetting? a. "Do you think this is related to the acci-dent?"
b. "Do others in the family have this prob-lem?"
c. "Does your child drink lots of fluids late at night?"
d. "Are there any stressful situations in your family?"
A
Anxiety is the root of such defense mechanisms as regression. This behavior is an example of regression, in which the 5-year-old child has gone back to behavior more suited to a younger de-velopmental age.
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A patient admitted to the hospital after a motorcycle crash that has left him paralyzed from the waist down tells the nurse he has feelings of helplessness and hopelessness. What other feelings may the patient have that should be recognized?
a. Isolation b. Suicidal ideation c. Fear d. Anger
In the outermost portion of the injured area, there is minor cell damage; this area is referred to as the zone of hyperemia. What provides blood flow to the zone of hyperthermia?
1. Vasoactive mediators 2. Fibrinolysis mediators 3. Coagulation mediators 4. Tissue mediators
You are the nursing supervisor on the 11 P.M. to 7 A.M. shift. When making rounds, the charge nurse on the unit reports that one of the patients is dyspneic
What action would be expected from a nurse in the expertise stage of clinical competence when assessing shortness of breath in a patient? a. Recognizes the patient may have pulmonary edema and orders (or asks the physician for an order) an IVP diuretic b. Places a patient complaining of shortness of breath in high-Fowler's position after hearing coarse crackles and rhonchi and obtaining a pulse oxygenation of 88% c. Increases the oxygen concentration d. Notifies the instructor of the patient's complaints
A client with Meniere's disease is incapacitated by vertigo and is lying in bed grasping the side rails and staring at the television. Which nursing intervention should the nurse implement?
A. keep the head of the bed elevated 30 degrees B. turn off the television and darken the room c. encourage fluids to 3000 mL per day D. change the client's position every two hours