The nurse is preparing a client for surgery. The client states, "I am concerned I might be given blood products during surgery and this would be against my religious beliefs." How does the nurse respond?
a. "We can use other means to replace blood loss besides blood products."
b. "Your chance of needing a blood transfu-sion is small."
c. "The operating team will do what is ne-cessary to save your life."
d. "You could have family members donate blood for you."
A
The client's rights and wishes should be respected while accurate information is provided for reassurance. Directed donations from family members neither ensure safe blood products nor may be sanctioned by the client's religion.
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A nurse works a great deal with refugees and is frustrated because, as a group, they don't seem to want to implement desired health behaviors. What action by the nurse would be most helpful?
A. Conduct a health screening and educational event each month. B. Provide written information in the group's native language. C. Teach selected group representatives to be lay health educators. D. Try to establish relationships within the refugee community.
The following intervention is appropriate related to insulin therapy:
a. short-acting insulin should be given one hour before meals. b. client needs to eat within 30 minutes after rapid-acting insulin injection. c. after initiation of insulin therapy, a "honeymoon phase" occurs that then allows a reduced amount of insulin on a permanent basis. d. insulin sensitivity can be determined by analyzing pre-meal blood glucose, insulin dose administered, and food eaten.
Because the most common symptoms of MG are related to involvement of the levator palpebrae or extraocular muscles, which assessment technique does the nurse use?
a. use a penlight and check for pupil size and response b. observe for protrusion of the eyeballs c. check accommodation by moving the finger toward the pt's nose d. face the pt and direct him or her to open and close the eyelids
A pregnant client is interested in the use of herbs during her pregnancy. How should the nurse counsel this client? Select all that apply
1. Do not take any herbs with other medication. 2. Refer to the list to learn which herbs to avoid during pregnancy. 3. Most herbs are harmless and can be safely taken while pregnant. 4. Refer to the list to learn which herbs to avoid during breastfeeding. 5. Consult with your healthcare provider before taking any herbs, even as teas.