A client who has recently lost the 75 pounds recommended by his physician continues to dress in loose, baggy clothing and frequently refers to himself as "fat
" The nurse interprets this finding as most likely indicating which of the following? A)
Body image disturbance
B)
Lack of education
C)
Role confusion
D)
Fear of success
A
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The nurse is providing education to a patient who has been prescribed both an antacid and cimetidine [Tagamet]. Which instruction should the nurse give the patient about taking the me-dications?
a. "Take the antacid 1 hour after the raniti-dine." b. "The antacid and ranitidine should be taken at the same time for better effect." c. "Take the antacid 15 minutes before the ranitidine." d. "Take the antacid 30 minutes after the ra-nitidine."
When an African American adolescent patient asks the nurse how to care for her long hair, which is braided into small braids, the nurse should instruct the patient that
A) Braids should be undone every day B) Combs should be washed as often as necessary C) Hair should be washed as often as necessary D) Lubricants or oils should not be used on the braids
A nurse is assessing a client who has borderline personality disorder. Which of the following would be a priority?
A) Nutrition patterns B) Personal hygiene practices C) Physical functioning D) Somatic complaints
A toddler is admitted to the surgical unit for a planned closure of a temporary colostomy. Which medical prescription should the nurse question?
1. Clear liquids today. NPO tomorrow 2. Type and cross-match for 1 unit of packed red blood cells. 3. Rectal temperatures every 4 hours 4. Start an intravenous line with D5NS at 20 mL per hour.