The patient's basic needs of hunger, thirst, elimination, and pain relief must be met before
A) pain can be relieved.
B) effective rest is possible.
C) the patient can get dressed.
D) the patient can be repositioned.
B
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A pregnant woman with severe preeclampsia is receiving intravenous magnesium sulfate at 3 g/hr. Her serum magnesium level is 7 mg/dL. What is the most important nursing assessment?
A) Decreased incidence and frequency of seizures B) Decreased respiratory rate and hyporeflexia C) Increased urine output greater than 40 mL/hr D) Flushing of skin and diaphoresis
A patient has questioned the nurse's administration of IV normal saline, asking whether sterile water would be a more appropriate choice than "saltwater." Under what circumstances would the nurse administer electrolyte-free water intravenously?
A) Never, because it rapidly enters red blood cells, causing them to rupture. B) When the patient is severely dehydrated resulting in neurologic signs and symptoms C) When the patient is in excess of calcium and/or magnesium ions D) When a patient's fluid volume deficit is due to acute or chronic renal failure
A nursing instructor is teaching about the Roberts' Seven-Stage Crisis Intervention Model. Which nursing action should be identified with Stage IV?
1. Collaboratively implement an action plan. 2. Help the client identify the major problems or crisis precipitants. 3. Help the client deal with feelings and emotions. 4. Collaboratively generate and explore alternatives.
A female patient, newly diagnosed with gonorrhea, screams, "I am going to kill my husband. I mean it." What is the nurse's best response?
a. "Are you sure it is your husband who gave you gonorrhea?" b. "Yikes! Killing your spouse seems ex-treme." c. "Shall I report your spouse as a sexual contact?" d. "I can understand your anger. How best can you deal with it?"