The critical care environment is often stressful to a critically ill patient. Identify stressors that are common. (Select all that apply.)
a. Alarms that sound from various devices
b. Bright, fluorescent lighting
c. Lack of day-night cues
d. Sounds from the mechanical ventilator
e. Visiting hours tailored to meet individual needs
A, B, C, D
Adjustment of visiting hours to meet needs of patients and families assists in reducing the stress of critical illness. All other responses are environmental stressors that increase anxiety, affect sleep, and the like.
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A nurse manager is committed to establishing an environment that supports critical thinking and creativity
What strategies would help in this effort? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. Provide opportunities for staff to interact with nurses from outside the facility. 2. Give the nurses freedom to design their work environment. 3. Create a spreadsheet for nurses to complete describing their creative efforts. 4. Assign each nurse 15 minutes of a staff meeting to talk about his or her creative efforts. 5. Be receptive to ideas even if they seem strange at the beginning.
Mr. T has moderate levels of hearing and visual impairment. His nurse wants him to enter adult foster care, but Mr. T insists that he will continue living alone in his own home
In this situation, what is the most important variable in providing care? A) Mr. T's preference B) Mr. T's self-care capacity C) Mr. T's physical limitations D) Mr. T's socioeconomic level
The nurse is teaching clients in the gynecological clinic about the dangers of gonorrhea. What should the nurse include in this teaching?
1. Gonorrhea has a foul discharge early in the disease. 2. The client will experience severe pain when infected. 3. The client will experience anorexia as the first sign of infection. 4. Symptoms do not appear until the infection is well advanced.
A patient was started on niacin (vitamin B3) because of a deficiency in her diet. The patient called the clinic with complaints of flushed face, weakness, and tingling skin. This patient is:
1. having a heart attack from taking niacin. 2. having a reaction to taking niacin. 3. needing to increase the dose of niacin. 4. needing to reduce the dose of niacin.