A young woman was recently brought into an emergency department after being violently raped. Which is the most appropriate nursing intervention?
A) Discouraging her from discussing the event because this may further traumatize her
B) Remaining nonjudgmental and actively listening to her recount of the events
C) Avoiding discussion of the rape because the nurse may be subpoenaed to testify in court
D) Helping the victim recount the episode by leading the conversation
B
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A patient who is terminally ill has asked a nurse if he can request that cardiopulmonary resuscitation (CPR) not be used in the event he has respiratory or cardiac arrest. What is the best response by the nurse?
a. "The physician is the only one that can make that decision." b. "I will be glad to get you some informa-tion on advance directives, which are written statements of a person's wishes regarding medical care." c. "Yes, you can make that decision; I will tell all the nurses." d. "Your family will have to make the deci-sion."
An important action the nurse can take that will most likely increase client compliance with a sodium- and fat-restricted diet is to
a. offer to find the client a class on heart-healthy cooking. b. provide verbal education on ways to modify the client's current diet. c. refer the client for a consultation with a registered dietitian. d. tell the client about complications that may occur from not being compliant.
The nurse has removed the sutures from a client's surgical wound. What should the nurse document about this procedure?
1. Number of sutures removed 2. Appearance of the incision 3. Client teaching 4. Client tolerance of the procedure 5. Name of the surgeon.
While preparing a patient for a second esophageal dilation procedure, the nurse explains that succinylcholine (Anectine) will be used for muscle relaxation
The patient is anxious and reports not being able to swallow for several hours after the previous procedure. What will the nurse do? a. Be prepared to provide mechanical ventilation after the procedure. b. Have dantrolene available, because this patient is at increased risk for side effects. c. Reassure the patient that this is expected after neuromuscular blockade. d. Request an order for a pseudocholinesterase level.