A patient with a history of chronic foot ulcers secondary to diabetes has been admitted to the preoperative clinic in preparation for a metatarsal amputation
The patient appears stoic and avoids making eye contact with the nurse, while answering assessment questions with one-word answers. How should the nurse best respond to this patient's demeanor?
A) Ask the patient if he would like to have a p.r.n. benzodiazepine.
B) Ask the patient if he is experiencing signs and symptoms of depression.
C) Reassure the patient that many individuals with amputations lead fulfilling lives.
D) Try to gently assess the patient's feelings around this procedure.
D
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While covering a colleague's lunch break, a nurse on an orthopedic unit has responded to a client's call light. The client has requested assistance in transferring from the bed to the bathroom
The nurse has not previously provided care for this client and is unsure of the client's current activity orders. The client's current level of activity can be most easily verified by consulting what written source? A) Nursing care plan B) Nursing kardex C) Checklist D) Flow sheet
A patient in labor who is dilated 7 cm reports that narcotic pain medication given 3 hours ago has worn off and is asking for another dose. How should the nurse respond to this request?
A) "I will get permission from your doctor.". B) "Your stage of labor makes giving another dose unsafe.". C) "It is too early as the medication should be given only every 4 hours.". D) "Since it has been over 3 hours, you should be able to have more of the medication.".
A nurse is providing an in-service on do-not-resuscitate (DNR) orders to a group of newly hired graduate nurses. Which of the following statements made by one of the group members indicates to the nurse a need for further teaching?
1. "Do-not-resuscitate orders are a form of euthanasia.". 2. "My nursing license is safe as long as I follow facility polices regarding a DNR.". 3. "A do-not-resuscitate order is an example of a client's right to autonomy.". 4. "Do-not-resuscitate orders may be rescinded if the client wishes.".
A patient received a tuberculosis skin test injection of purified protein derivative (PPD) 72 hours ago. Which assessment finding of the test site does the nurse interpret as a positive reaction?
a. The injected area has a blister-like swelling about 2 mm high and 2 mm in di-ameter. b. The injection site is puffy and soft with pus oozing from the needle hole. c. The skin is red and very hard for 12 mm around the injection site. d. There is a large bruise surrounding the injection site.