A client with borderline personality disorder has lacerated her wrists. The physician orders daily
dressing changes for the lacerations. The nurse performing this care should
a. encourage the client to express anger.
b. provide care in a matter-of-fact manner.
c. be kindly, sympathetic, and concerned.
d. offer to listen to the client's feelings about cutting.
B
A matter-of-fact approach does not provide the client with positive reinforcement for self-mutilation.
The goal of providing emotional consistency is supported by this approach. All other options
provide positive reinforcement of the behavior.
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Which question or statement by the client about to undergo allogeneic bone marrow transplantation indicates a need for further discussion regarding the procedure?
A. "Which bone will the surgeon insert the marrow into?" B. "Until the marrow transplant takes, I should have few visitors." C. "How long will it be before we know if the transplant is successful?" D. "After the bone marrow transplant grows in me, my blood type will be the same as the donor's."
An older adult client is brought to the emergency department after ingesting an unknown substance. The client, who appears to have dementia, has tremors, ataxia of the upper and lower extremities, depression, and confusion
The nurse suspects ingestion of which of the following? A) Lead B) Aluminum C) Manganese D) Mercury
A nurse is caring for a patient who is receiving a drug that causes constriction of arterioles. The nurse expects to observe which effect from this drug?
a. Decreased stroke volume b. Increased stroke volume c. Decreased myocardial contractility d. Increased myocardial contractility
A nurse is preparing to administer a medication from a vial. In which order will the nurse perform the steps, starting with the first step?
1. Invert the vial. 2. Fill the syringe with medication. 3. Inject air into the airspace of the vial. 4. Clean with alcohol swab and allow to dry. 5. Pull back on the plunger the amount to be drawn up. 6. Tap the side of the syringe barrel to remove air bubbles. a. 4, 1, 5, 3, 6, 2 b. 1, 4, 5, 3, 2, 6 c. 4, 5, 3, 1, 2, 6 d. 1, 4, 5, 3, 6, 2