The nurse is admitting a 64-year-old Hispanic male to the rehabilitation facility following surgical intervention for a broken hip. The nurse should first assess which of the following?

a. Self-care ability
b. Self-esteem
c. Communication
d. Pain


D
Pain is the first priority for the patient admitted for rehabilitation following surgical intervention. Options a and b are not the first to be assessed. In Option c, the ability to communicate pain can be done using graphic representations if the patient does not speak English.

Nursing

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The medical surgical nurse manager is having difficulties with the nursing staff who assume the charge nurse role. The charge nurses perform their duties differently from one another and are inconsistent

One charge nurse informs the manager, ?I get tired of them complaining so I enter their orders into the system.? The nurse manager is aware this is an interrole conflict. Which of the following describes an interrole conflict? 1. The role is inconsistently performed. 2. The manager is not directing the assigned nursing tasks. 3. There is conflict between the charge nurse and nurses? roles. 4. The charge nurses are not fulfilling their role.

Nursing

After assessing a patient's response to stress, the nurse has determined the patient is an individualist

Which statements by the patient support this determination? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. "I prefer not to join a support group.". 2. "I can handle this situation if I just have enough time.". 3. "I can't change this situation, so I am going to have to adapt to it.". 4. "I wonder who can best help me with this problem.". 5. "I got myself into this situation, so I am going to have to get myself out of it.".

Nursing

The client has had angiography with the entrance site in the left femoral artery. Two hours after the procedure, the nurse is unable to palpate the left pedal pulse. What is the nurse's best action?

A. Elevate the left leg and apply a sandbag to the entrance site. B. Increase the flow rate of the intravenous fluids. C. Notify the physician. D. Document the finding.

Nursing

Which nurse is the best example of a nurse who is providing culturally competent care?

A) The nurse who evaluates the patient's ability to understand instructions presented in English B) The nurse who determines the patient's family relationships C) The nurse who does not touch the patient during the visit D) The nurse who asks the patient if there are any religious beliefs that should be considered in planning care

Nursing