A patient with Ménière's disease is crying and wants to know why this disease is occurring. Which outcome should the nurse recommend for this patient's care?
a. Prevent injury.
b. Decrease anxiety.
c. Prevent ear infection.
d. Maintain fluid volume.
ANS: B
The patient is anxious due to the uncertainty of the disorder. The goal is to reduce the anxiety through education. A. C. D. These outcomes do not address the patient's anxiety about the disorder.
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A child has recently been diagnosed with leukemia. The child's sibling is expressing feelings of anger and guilt. This reaction by the sibling is:
1. Abnormal; the sibling should be referred to a psychologist. 2. Unexpected; the cancer is easily treated. 3. Unusual; the illness doesn't affect the sibling. 4. Normal; the sibling is affected, too, and anger and guilt are expected feelings.
The nurse providing normal postoperative care to a client who underwent laser trabeculoplasty as part of glaucoma management would
a. give food and fluids immediately on arrival. b. instruct the client to lie on the operative side. c. maintain an eye patch and plastic shield in place. d. tell the client to expect eye pain and nausea.
During clinical conference, the interdisciplinary team examines the MRI results of two clients. One client has increased activity in the areas of the medial temporal and ventral limbic areas
Both clients have the same diagnosis, but the nurse would expect the client with the increased brain activity to differ from the other client in which way? A) The client with lower activity would be receiving an atypical antipsychotic. B) The client with higher activity would be ready for discharge. C) The client with the lower activity would require greater assistance with self-care. D) The client with higher activity would be hallucinating more actively than the other client.
A patient with a bacterial infection has been placed on antibacterial therapy. Which assessment finding in the patient indicates to the nurse that the therapy is effective?
a. Red blood cell count is 4,500,000 cells/mm3 b. White blood cell (WBC) count is 8000 cells/mm3 c. Wound drainage is thick and yellow d. Temperature is 102.4? Fahrenheit