While the nurse is helping the dialysis patient dress to go to her dialysis treatment, the patient bursts into tears and says, "I can't go! I can't stand another day in that awful place
I will die if I have to go!" The nurse's best intervention would be to: a. stop the dressing process, sit down, and calmly ask, "Let's talk about how you are feeling."
b. continue to dress the patient and say, "You'll feel better after you have had your dialysis treatment."
c. stop the dressing process and ask, "Are you aware that you can get sicker if you don't go?"
d. continue dressing the patient and say, "We'll have to hurry if you are to eat breakfast before you go."
A
A calm and supportive attitude will help the patient identify feelings.
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A nurse working in the newborn nursery notes that an infant is having frequent episodes of apnea lasting 10–15 seconds without any changes in color or decreases in heart rate. The most appropriate intervention would be to:
1. Call the physician immediately. 2. Continue to observe the infant, and call the physician if the apnea lasts longer than 20 seconds. 3. Suction the infant's mouth and nares. 4. Turn the infant right side down.
A nurse at a long-term care facility provides care for an 85-year-old man who has had recent transient ischemic attacks (TIAs). Which of the following statements best identifies future complications associated with TIAs? TIAs
A) are an accumulation of small deficits that may eventually equal the effects of a full CVA. B) are a relatively benign sign that necessitates monitoring but not treatment. C) resolve rapidly but may place the client at an increased risk for stroke. D) are caused by small bleeds that can be a warning sign of an impending stroke.
Identify the key items that define how the hematologic system functions. Select all that apply
1. The main component of the system is blood. 2. Blood is a type of connective tissue. 3. The hematologic system is a transport system that functions to provide nutrients to the body. 4. The hematologic system is a transport system that functions to remove toxins from the body. 5. The lymphatic and the reticuloendothelial/mononuclear phagocyte systems contribute to the functions of the hematologic system.
The primiparous patient has asked the nurse why her cervix has only changed from 1 to 2 cm in three hours of contractions occurring every five minutes. The best response by the nurse is:
1. "Your cervix has also effaced, or thinned out, and that change in the cervix is also labor progress." 2. "When your perineal body thins out, your cervix will begin to dilate much faster than it is now." 3. "What did you expect? You've only had contractions for a few hours. Labor takes time." 4. "The hormones that cause labor to begin are just getting to be at levels that will change your cervix."