A patient became acutely anxious and hysterical in response to the stress of the patient's home being destroyed by fire the previous evening. The immediate nursing goal for the patient is the:
a. patient will be stabilized.
b. illness will go into remission.
c. patient will completely recover.
d. patient will achieve optimal wellness.
A
According to the Stuart Stress Adaptation Model, the nursing goal for the crisis stage is the stabilization of the patient.
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A nurse plans care for a client who is at high risk for a pulmonary infection. Which interventions should the nurse include in this client's plan of care? (Select all that apply.)
a. Encourage deep breathing and coughing. b. Implement an air mattress overlay. c. Ambulate the client three times each day. d. Provide a diet high in protein and vitamins. e. Administer acetaminophen (Tylenol) twice daily.
The pediatric clinic nurse assesses a child who reports swallowing problems and skin changes on the hands in response to cold exposure. Which other manifestations will the nurses assess for in this child? (Select all that apply.)
A. Calcinosis B. Fungal nail infections C. Oral thrush D. Sclerodactyly E. Telangiectasias
A nurse has just received the shift handoff report. Which patient should the nurse assess first?
A. A patient who has rheumatoid arthritis and is having an endoscopy this morning B. A patient who has asthma and had difficulty breathing during the night C. A postoperative cholecystectomy patient who has a drain and needs discharge teaching D. A patient who has sickle cell anemia reporting pain and received pain medication 10 minutes ago
The informatics nurse selects a middle-range theory to support a research study. Which is an advantage of using this type of theory? Select all that apply.
A) Reflects practice B) Crosses different nursing fields C) Focuses on a specific phenomenon D) Differentiates between nursing and medical practice E) Describes the broadest scope of nursing phenomenon