The nurse is caring for a patient who has a chronic illness and whose spouse is the caregiver. Which of the following should the nurse do to assist the caregiver with coping? (Select all that apply.)
a. Convey that a cure is possible.
b. Encourage a realistic, hopeful attitude.
c. Empower the caregiver.
d. Assist the caregiver in identifying a support network.
e. Share community resources.
ANS: B, C, D, E
All but A offer the caregiver encouragement and methods for coping as a caregiver.
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An adult has a thermal burn injury involving all of one leg and the entire posterior trunk. There are also three scattered areas on the anterior trunk, each approximately the size of the patient's palm
As part of initial assessment, the nurse calculates the size of the burn using a combination of the Rule of Nines and the Rule of Palm. What is the result of this calculation in percentage of total body surface area (TBSA)?
The nursing staff of a medical–surgical unit would like to work four 10-hour shifts each week. For which reason would the unit nurse manager probably deny this request?
1. There is no overlap of staff. 2. There are not enough nurses working during a 24 hour period of time. 3. This would create discord and confusion with other health care departments. 4. This staffing pattern would not be cost-efficient.
The nurse is interviewing a 3-year-old girl who tells the nurse: 'Want go potty.' The parents tell the nurse that their daughter often speaks in this type of broken speech. What would be the nurse's appropriate response to this concern?
A) 'This is a normal, common speech pattern in the 3-year-old and is called telegraphic speech.' B) 'This is considered a developmental delay in the 3-year-old and we should consult a speech therapist.' C) 'This is a condition known as echolalia and can be corrected if you work with your daughter on language skills.' D) 'This is a condition known as stuttering and it is a normal pattern of speech development in the toddler.'
What lab values would support the diagnosis? (Select all that apply.)
A. Increased T3 and T4 B. Decreased T3 and T4 C. Increased thyroid-stimulating hormone (TSH) D. Decreased TSH E. Thyroid antibodies – high titer F. Thyroid scan – increased uptake of radioactive iodine (RAI)