A woman is seen in the emergency department in a severe state of anxiety following assault and battery. The nurse places highest priority on taking which of the following nursing actions at this time?
1. Remaining with the client
2. Encouraging the client to talk about her feelings
3. Teaching the client deep-breathing techniques
4. Putting the client in a quiet room, away from other clients
1
Rationale: A client with severe anxiety may feel abandoned and become overwhelmed if left alone. Placing the client in a quiet room is also indicated, but it is more important to stay with the client. The client may not feel comfortable being located a distance from other people. It is not realistic to teach the client deep breathing or relaxation until the anxiety decreases. Encouraging the client to share feelings would be appropriate after anxiety has decreased.
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MC One major difference between a colostomy and ileostomy is
A. An ileostomy is the result of long-standing history of diverticulitis. B. A colostomy produces a semiliquid effluent. C. Clients with an ileostomy require a greater fluid intake. D. A colostomy client never has an irrigation performed.
While working with a client who is living with progressively worsening Parkinson disease and consequent self-care deficits, Nurse P is conscious of integrating principles of holistic gerontological nursing care
Place the following steps in the application of these principles in the correct logical and chronological order. Use all the options. A) Implement specific nursing care plan actions B) Perform an assessment of the client C) Identify the presence of needs related to health challenges D) Evaluate how well identified health needs are being met E) Explore reasons underlying the client's health needs
Which is the diluent in a solution such as an antibiotic and SW?
What will be an ideal response?
A nurse is caring for a client with emphysema. Which nursing interventions are appropriate?
a) Administer low-flow oxygen. b) Teach use of postural drainage and chest physiotherapy. c) Keep the client in a supine position as much as possible. d) Encourage alternating activity with rest periods. e) Reduce fluid intake to less than 2,500 ml/day. f) Teach diaphragmatic, pursed-lip breathing.