The nurse is caring for a patient who plans to relinquish her baby for adoption. The nurse would implement which of the following approaches to care?
1. Encourage the patient to see and hold her infant.
2. Encourage the patient to express her emotions.
3. Respect any special requests for the birth.
4. Acknowledge the grieving process in the patient.
5. Allow for access to the infant if the patient requests it.
Correct Answer: 2,3,4,5
Rationale: Encouraging the patient to see and hold her infant does not respect the patient's right to refuse interaction, and might make her feel guilty for not wanting to see the infant.
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The patient has a potassium level of 5.9 mEq/L. The nurse is administering glucose and insulin. The patient's wife says, "He doesn't have diabetes, why is he getting insulin?" What is the best response by the nurse?
1. "Insulin will cause his extra potassium to go into his cells and lower the blood level." 2. "Insulin lowers his blood sugar levels and this is how the extra potassium is excreted." 3. "Insulin is safer than giving laxatives such as Kayexalate." 4. "Insulin will help his kidneys excrete the extra potassium."
A client who just went through an upsetting divorce is threatening to commit suicide with a handgun. The client is involuntarily admitted to the psychiatric unit. Which of the following nursing diagnoses has the highest priority?
A) Hopelessness related to recent divorce B) Ineffective coping related to inadequate stress management C) Spiritual distress related to conflicting thoughts about suicide and sin D) Risk for suicide related to a highly lethal plan
Which foods should the nurse associate with triggering asthma? Select all that apply.
A. Cured meat B. Dairy products C. Grapefruit juice D. Nuts E. Shellfish
A group of nursing students are reviewing information about neurocutaneous syndromes. What is an example of these disorders?
A) Sturge-Weber syndrome B) Marfan syndrome C) Apert syndrome D) Achondroplasia