Mary is a student nurse caring for Alma, a 45-year-old postsurgical patient. Mary is prioritizing her care based on Alma's needs. Alma has developed a health care–acquired wound infection that has become systemic
Which of the following should be Mary's top priority? A. Changing the surgical dressing
B. Managing fever
C. Providing patient education
D. Providing personal hygiene
B
Give special attention to any urgent needs the infection creates. For example, if the patient's infection becomes systemic, a nurse will need to manage fever and prevent dehydration. Once the infection begins to resolve, focus priorities on patient education and emotional support.
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A nurse has completed orientation to a locked psychiatric unit. Which statement best demonstrates that the nurse is prepared to fulfill the professional role?
1. "I took a course in self-defense so I can take care of myself." 2. "I will ask for support from colleagues when I need it." 3. "I know there is a fine line between the clients and the staff." 4. "I can maintain proper distance by engaging in therapeutic interventions."
During the inspection phase of the physical examination, the nurse notices that the patient's chest wall is round, and the anterior-to-posterior diameter and the lateral diameter are equal
Based on this information, what disease process does the nurse suspect? A) Lobular pneumonia B) Chronic obstructive pulmonary disease C) Acute respiratory distress syndrome D) Respiratory syncytial virus
The home health nurse has evaluated the community for measures that support pedestrian safety. What safety measures would be appropriate modifications to increase safety in the community? (Select all that apply.)
a. Pedestrian-controlled crosswalks b. Safety islands on wide street intersections c. Decreased time to cross at walks d. Clearly marked crosswalks at intersections e. Overhead crossings over busy streets
A young mother is crying and states that she is "a bad mother" because she has to leave her preschool-aged child at day care. Which of the following would be your therapeutic response to her?
A) "Oh, you'll get over that feeling in a few days." B) "Lots of mothers do that. Why do you feel like a bad mother?" C) "The people at day care are licensed. Your child is in good hands." D) "It must be difficult to leave your child, but this may be a good opportunity for him or her to learn how to interact with peers."