A nurse is engaged in psychoeducational activities with a hospitalized patient diagnosed with bulimia nervos
a. The nurse says, "When you feel the need to vomit,
a. do vigorous aerobic exercise until the urge goes away."
b. seek out a staff member to talk about your feelings."
c. call your parents on the phone to show you care."
d. allow yourself to vomit, but avoid purging."
B
Resistance to the urge to vomit or purge can be strengthened by reporting it to a nurse and talking about the feelings that the individual experienced before the urge and the feelings being experienced presently. Once feelings are identified, the patient can begin to work on alternate coping strategies. The other options are not helpful.
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A patient was prescribed an oral antibiotic for the treatment of sinusitis. The patient has now stopped, stating she developed a rash shortly after taking the first dose of the drug. What is the nurse's most appropriate response?
A) Encourage the woman to continue with the medication while monitoring her skin condition closely. B) Refer the woman to her primary care provider to have the medication changed. C) Arrange for the woman to go to the nearest emergency department. D) Encourage the woman to take an OTC antihistamine with each dose of the antibiotic.
The client comes to the clinic and says to the nurse, "I am coming in today to see the doctor because I started having diarrhea 2 days ago and am going six to eight times per day." How would the nurse document this statement?
A) Concern: Client is afraid he is going to be dehydrated from the amount of diarrhea he is having. B) Problem: Client is having diarrhea at least six to eight times per day. C) The client is having diarrhea and wants to see the physician. D) Chief complaint: "Diarrhea began 2 days ago and having six to eight stools per day."
You detect the presence of a heave, which is best described as
a. a lifting of the cardiac area. b. a pulsating mass. c. periodic gasping respirations causing the chest wall to rise. d. vibrations similar to those felt when your hand is placed on a purring cat.
What choice of words or phrases would be inappropriate to use with a child?
a. "Rolling bed" for "stretcher" b. "Special medicine" for "dye" c. "Make sleepy" for "deaden" d. "Catheter" for "intravenous"