The nurse wishes to enhance growth in her client by showing positive regard. The action consistent
with this desire is
a. administering daily medication as prescribed.
b. making rounds according to the daily assignment.
c. staying with the client when the client cries.
d. taking a group of clients for a walk.
ANS: C
Options A, B, and D are tasks that could be part of an assignment and do not necessarily reflect
positive regard. Staying with a crying client offers support and shows positive regard.
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The nurse is caring for a client whose heart rate suddenly becomes irregular. When notifying the physician, the nurse anticipates an order for what diagnostic study?
1. Electrocardiogram 2. Echocardiogram 3. Cardiac catheterization 4. Thallium stress test
The nurse is doing triage at the emergency department when a middle-aged patient presents with abdominal pain and heartburn. The patient states the symptoms have persisted for several days following a particularly spicy meal
When assessing the patient, the nurse notes the patient has a history of acute gastritis. What complication should the nurse assess for? A) Esophageal or pyloric obstruction related to scarring B) Acute systemic infection related to peritonitis C) Gastric hyperacidity related to excessive gastrin secretion D) Bruising on the patient's flanks
The nurse is initiating care for a client diagnosed with burns to the chest, back, neck, and face. For this client, which of the following nursing diagnoses would receive the highest priority?
1. Disturbed body image 2. Impaired skin integrity 3. Ineffective airway clearance 4. Risk for infection
An older client tells the nurse that in order to have a daily bowel movement, the client uses laxatives most days of the week. What should the nurse tell this client?
1. Normal patterns of elimination are different for everyone. 2. Increase fiber intake to 20–35 grams a day. 3. Engage in enjoyable exercise. 4. Ignore the urge to have a bowel movement. 5. Drink six to eight glasses of fluid daily.