What should a nurse consider when discussing the communication patterns of families with the patient?
a. Cultural aspects of the family
b. Age of the family members
c. Role adopted by each family member
d. Number of members in the family
A
Although each option has significance, cultural aspects must be considered in determining the functioning level of the family as it affects the roles taken.
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The nurse is preparing to catheterize a client who has just voided. Which is the purpose of this catheterization?
1. To obtain a baseline urine output. 2. To support the diagnosis of kidney stones. 3. To evaluate the ability of the client to empty the bladder. 4. To evaluate renal function.
An intramuscular dose of antipsychotic medication needs to be given to a patient who is becoming increasingly more aggressive. The patient is in the day room. Which intervention would be safest and most appropriate?
a. Enter the day room and say, "Would you like to come to your room and take some medication that your doctor has ordered for you?" b. Take three staff members as backup and say, "Please come to your room so I can give you some medication that will help you feel more comfortable.". c. Take two male aides with you and tell the patient, "You can come to your room willingly so I can give you this medicine, or we will have to take you there.". d. Four staff should clear the room of patients, restrain the target patient, then administer the PRN medication and continue to hold him until he calms.
A patient with a traumatic brain injury is being evaluated for brain death. Which findings should the nurse expect in this patient?
Select all that apply. 1. absence of gag or corneal reflex 2. absence of oculovestibular reflex 3. apnea with PaCO2 of 66 mmHg 4. toxic metabolic disorders 5. response to deep stimuli
This is the nurse's third day of caring for a client who recently underwent a colectomy that resulted in a colostomy. As the nurse goes about the physical assessment, a discussion about spirituality develops
The client tells the nurse that his religion believes in a basic harmony between religion and science. You interpret this as which of the following groups? A) Buddhism B) Baha'i International Community C) Mormon D) Jehovah's Witness