A client has refused to take a shower since being admitted 4 days earlier. He tells a nurse, "there are poison crystals hidden in the showerhead. They'll kill me if I take a shower." Which nursing action is most appropriate?
a. dismantling the showerhead and showing the client that there is nothing in it
b. explaining that other clients are complaining about the client's body odor
c. asking a security officer to assist in giving the client a shower
d. accepting these fears and allowing the client to take a sponge bath
Answer: d. accepting these fears and allowing the client to take a sponge bath
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The critical care nurse is caring for a patient with a central venous pressure (CVP) monitoring system. The nurse notes that the patient's CVP is increasing. What may this be indicative of?
A) Hypovolemia B) Hypervolemia C) Hypermagnesemia D) Hypomagnesemia
A client with an esophagogastric tube suddenly experiences acute respiratory distress. Which is the nurse's first action?
a. Call the health care provider. b. Cut the balloon ports and remove the tube. c. Place the client upright and apply oxygen. d. Reduce the balloon pressure slightly.
Through the use of an antimicrobial agent and sterile brushes or sponges, which of the following occurs? (Select all that apply.)
a. Debris and transient microorganisms are removed from the nails, hands, and forearms. b. The resident microbial count is reduced to a minimum. c. The skin is sterilized. d. Rapid/rebound growth of microorganisms is inhibited. e. The need to wash between patients is reduced.
The nurse explains to the client why combination therapy and special dosing schedules are used to treat cancer. Which client response indicates the need for further teaching?
1. "This is more effective than using one medication." 2. "Lower doses of the medications can be given." 3. "The medications need to be given in higher doses when used in combination." 4. "This reduces the resistance to medication."