For which patient should the nurse be most alert for emerging spiritual needs?
a. Miss A, who has been given the diagnosis of gallbladder disease
b. Mrs. B, who has been told she has metastatic cancer
c. Mr. C, who has varicose veins
d. Mr. D, who has herpes zoster
ANS: B
Patients who have been given bad news are at high risk for experiencing spiritual distress. Of the options provided, only metastatic cancer is considered an incurable disease.
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A nurse is calling the on-call physician about a client who had a hysterectomy 2 days ago and has pain that is unrelieved by the prescribed narcotic pain medication. Which statement is part of the SBAR format for communication?
a. A: "I would like you to order a different pain medication." b. B: "This client has allergies to morphine and codeine." c. R: "Dr. Smith doesn't like nonsteroidal anti-inflammatory meds." d. S: "This client had a vaginal hysterectomy 2 days ago."
Why do many patients with very high heart rates frequently have chest pain and shortness of breath?
a. Patients with heart disease frequently have an anxiety disorder as well. b. The rapid pounding of the heart in the chest wall causes the physical pain. c. The heart muscle gets tired from the increased work. d. The decreased diastolic time decreases oxygen delivery to the myocardium.
Reflecting upon the client's other symptoms, the nurse determines the client likely has developed hepatic encephalopathy when the client:
1. Becomes increasingly agitated, with changes in mentation. 2. Begins to have bleeding esophageal varices. 3. Has ascites. 4. Begins to complain of a significant headache.
A patient has been prescribed all four first-line drugs for tuberculosis (TB). Which laboratory blood value is most important for the nurse to report to the prescriber first?
a. Red blood cells (RBCs) 2.2 million/mm3 b. International normalized ratio 1.6 c. White blood cells 6000/mm3 d. Sodium 134 mEq/L