In order to perform a perineal assessment, the nurse positions the client:
A) in side-lying, with the legs and knees extended. B) in lateral Sims', with the head resting on a small pillow. C) supine, with knees flexed. D) with the head of the bed elevated 30 degrees.
B
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A nurse cares for a client who has a chest tube. When would this client be at highest risk for developing a pneumothorax?
a. When the insertion site becomes red and warm to the touch b. When the tube drainage decreases and becomes sanguineous c. When the client experiences pain at the insertion site d. When the tube becomes disconnected from the drainage system
The drug of choice for the treatment of partial seizures is what?
A) Carbamazepine (Tegretol) B) Clorazepate (Tranxene) C) Felbamate (Felbatol) D) Gabapentin (Neurontin)
The nurse is caring for a patient who recently found a new religion. A family member tells the nurse that the family is concerned because the patient has difficulty maintaining relationships because of the patient's beliefs
What is the nurse's best response? 1. Assess for toxic faith. 2. Assess for the presence of delusions. 3. Ask the patient about these concerns. 4. Ask the patient to explain his or her beliefs to the family member.
The nurse is reviewing the discharge plans for an 84-year-old man who is to leave tomorrow. Included is a plan for quitting smoking
In discussing this with a co-worker, the nurse states, "I don't know why we need to do this, he has been smoking for years, and he isn't going to stop now." This statement by the nurse reflects the concept of A) senescence. B) reality orientation. C) negative stereotyping. D) character assessment.