C.P. tolerates the procedure well. He returns to the office 4 days later to learn the results of his
test. The pulmonologist tells C.P.
and his wife that he has poorly differentiated oat cell lung
cancer and explains that it is a very fast-growing cancer with a poor prognosis. This kind of
lung cancer is directly related to C.P.'s history of smoking. What is your role at this time?
• Be present when the physician informs C.P. and his family of the results of the diagnostic
procedure; realize that they are going to hear little or nothing beyond the diagnosis.
• They are going to be in shock; provide privacy, tissues, and fluids.
• Be supportive and listen to whatever they need to say.
• Ask them what they understood, and review the disease and treatment information.
• Put important points in writing for them to refer to later.
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A nurse cares for a client with atrial fibrillation who reports fatigue when completing activities of daily living. What interventions should the nurse implement to address this client's concerns?
a. Administer oxygen therapy at 2 liters per nasal cannula. b. Provide the client with a sleeping pill to stimulate rest. c. Schedule periods of exercise and rest during the day. d. Ask unlicensed assistive personnel to help bathe the client.
A critical care nurse is caring for a client in a hypertensive crisis. Blood pressure is being reduced slowly. The nurse is aware that if the blood pressure is lowered too much too quickly, the patient is at risk for
A) a myocardial infarction. B) a cerebral infarction. C) renal failure. D) All of the above are correct.
A licensed practical nurse on the unit where you are a charge nurse comes to you and says that a nursing assistant on the team is taking long supper breaks, leaving much of the work for another nursing assistant to complete and wants you to talk with
the nursing assistant. You say to the licensed practical nurse that you believe it is the nurse's responsibility to talk with the nursing assistant about this problem." What is this an example of? A) Avoiding conflict B) Smoothing conflict C) Encouraging a competitive approach to conflict D) Facilitating conflict resolution
The nurse is teaching a class for caregivers of patients with Alzheimer's disease. The nurse determines that learning has occurred when the caregivers make which statement?
1. "There aren't any drugs that are effective in treating this disease." 2. "There are effective drugs, but they cannot be used over a long period." 3. "There are drugs that will help decrease symptoms for a little while." 4. "There are drugs that can control symptoms for many years."