Which patient is at greatest risk of developing sensory deprivation?
A) An 84-year-old with progressive hearing loss living in an assisted living facility
B) A 50-year-old newly diagnosed with breast cancer and having first chemotherapy treatment today
C) A 32-year-old with a fractured pelvis, on bedrest in a private room
D) An 18-year-old with a traumatic head injury who is in an intensive care unit
Ans: C
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A client with medically complicated pregnancy has expressed frustration about the disparities in advice and treatment that she has received at various sites over the past several months
How can the nurse best ensure that there is continuity in the care that the client receives? A) Communicate clearly and frequently with other care providers B) Ensure that client education is provided whenever possible C) Explain the rationale for each assessment and treatment that the client receives D) Maximize the number of people who contribute to a client's care
A nurse is caring for an Asian American client immediately postpartum. As the client seems exhausted after delivery, the nurse offers her warm milk to drink
The client refuses, saying that her cultural belief does not permit her to have any food before 24 hours have passed. What is the most appropriate response by the nurse? A) Put in an IV and start intravenous fluid to avoid dehydration. B) Call the nurse supervisor and inform her about the client. C) Tell the client that her beliefs are misguided and she needs to have food. D) Describe the importance of the mother's nutritional status for lactation.
Which of the following activities is an example of teaching in the primary or health maintenance phase of care?
a. Teaching the client how to prepare for upcoming surgery b. Teaching a group of new mothers about the need for immunizations c. Teaching a client with a broken ankle how to walk on crutches d. Teaching a client how to care for his colostomy
What is an infant with severe jaundice at risk for developing?
a. Encephalopathy b. Bullous impetigo c. Respiratory distress d. Blood incompatibility