The patient is hemorrhaging and the nurses are assisting in preparing the nursing care plan for the patient. Nursing diagnoses for this patient include which of the following?
1. Increased cardiac output related to vasodilation and fear related to possible im-pending death
2. Increased cardiac output related to hypervolemia and fear related to possible im-pending death
3. Decreased cardiac output related to hypertension and fear related to possible im-pending death
4. Decreased cardiac output related to hypovolemia and fear related to possible im-pending death
4
The hemorrhaging causes loss of blood and hypovolemia and results in less cardiac output. Psychologically, this leads to a fear of impending death.
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A 24-year-old client with body dysmorphic disorder (BDD) tells the nurse that he plans to have a surgical procedure that will affect his appearance. The nurse understands that this plan is an effort to:
1. Suppress intrusive thoughts. 2. Deal with multiple physical complaints. 3. Treat associated depression. 4. Cure the imagined defect.
What does the term channel mean when associated with the communication process?
1. The method selected to convey the message 2. The information or feelings to be transmitted 3. The aural message 4. The originator of the message
The nurse notices that a female client has a dark, even tan. When asked, the client says, "I spend several hours a week working on my tan. The men in my family have always liked their women tanned
" What should the nurse consider before responding? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. It will be difficult to convince this client that sun exposure can be detrimental to skin health. 2. The women in this client's family are likely subservient to men. 3. This client is likely to discount the nurse's attempts at educating in regard to sun exposure. 4. There is no reason to spend time trying to teach this client about the adverse effects of sun exposure. 5. The nurse should focus on trying to educate the woman to keep her daughters out of the sun.
Which action should the nurse take when assessing a patient with trigeminal neuralgia?
a. Have the patient clench the jaws. b. Inspect the oral mucosa and teeth. c. Palpate the face to compare skin temperature bilaterally. d. Identify trigger zones by lightly touching the affected side.