A nurse is careful to cover the client during a bath. This action describes which of the following nursing roles?
1. Caregiver
2. Communicator
3. Teacher
4. Client advocate
1. Caregiver
Rationale:
The caregiver role includes those activities that assist the client physically and psychologically while preserving the client's dignity. As a communicator, the nurse identifies client problems, then communicates these verbally or in writing to other members of the health team. As a teacher, the nurse helps clients learn about their health and the health care procedures they need to perform to maintain or restore their health. A client advocate acts to protect clients and represents their needs and wishes to other health professionals.
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A nurse assessing the results of a Rinne test sees the notation of BC > AC. How should the nurse translate this result?
a. Conductive hearing loss b. Sensorineural hearing loss c. Normal hearing d. Cochlear defect
A client has been diagnosed with Hodgkin's disease. Which of the following pertinent questions should the nurse ask the client to help determine the correct nursing diagnosis?
A) Are you experiencing fever, chills, or night sweats? B) Do you use artificial respirators? C) Have you ever had a blood transfusion? D) Have you ever experienced fractures?
After initially hearing of her husband's death, your client experienced tachycardia, chest pain, dyspnea, and difficulty swallowing. Which phase of the grief reaction do these symptoms reflect?
1. reflection: physical, emotional, and spiritual suffering 2. anticipatory grieving 3. recognition: shock and denial 4. redirection: reorganization and moving ahead
L.M. responds well to the antibiotics, and her shunt is internalized 2 weeks later. she is released from the
hospital after observation for 2 days. While you are giving your discharge instructions, L.M.'s mother states that she normally gives L.M. 1 mL of acetaminophen (Tylenol Elixir), 160 mg/5 mL, and asks whether this is the correct dose. L.M.'s current weight is 4.5 kg and the therapeutic range of acetaminophen dosage is 10 to 15 mg/kg q4-6 h. Which of these statements would be your best response? a. "This is a safe amount; you should continue to give that dose every 4 hours." b. "You can continue to give her that amount; you can give her a dose every 2 hours." c. "You should give 1.4 to 2.1 mL every 4 to 6 hours based on her current weight." d. "Tylenol should not be given to a child her age."