A street person is brought to the hospital after having been badly beaten. She is states the hospital is
the "gateway to hell.". She is withdrawn and does not want to talk with anyone. She is thought to
have a schizoid personality disorder.
The approach most useful for working with this client is to
a. seek detailed information about what happened to help the client see her role in
causation.
b. simply and clearly tell her what is going to be done before taking any action.
c. alternate between being warm and friendly and neutral and businesslike.
d. try to inject a bit of humor into the situation to relieve tension.
B
When a client is having difficulty understanding reality, the nurse should communicate in clear,
simple, concise language. Option A is inappropriate for a client unable to test reality accurately.
Option C hinders establishment of trust. Option D is inappropriate for a client unable to test reality
accurately.
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The patient is a gravida 6, para 1 . She is admitted after a cesarean section after an amniotic embolus. Her heart rate (HR) is more than 150 beats/min with a systolic BP less than 80 mm Hg
Her temperature is 38°C, and her condition has caused her to develop prerenal azotemia. The patient was fluid resuscitated through a double-lumen catheter, which was placed into her right femoral access, and started on vasopressors with a fair response (BP, 80/50 mm Hg; HR, 122 beats/min). Because of her diagnosis and a concern regarding fulminating sepsis, the patient was begun on CVVH. Which of the statements best describes CVVH? a. Complete renal replacement therapy requiring large volumes of ultrafiltrate and filter replacement b. Complete renal replacement therapy that allows removal of solutes and modification of the volume and composition of extracellular fluid to occur evenly over time c. Involves the introduction of sterile dialyzing fluid through an implanted catheter into the abdominal cavity, which relies on osmosis, diffusion, and active transport to help remove waste from the body d. Complete renal replacement therapy that allows an exchange of fluid, solutes, and solvents across a semipermeable membrane at 100 to 300 mL/hr
Which of the following skin disorders is associated with diabetes?
A. Acanthosis nigricans B. Vitiligo C. Impetigo D. Folliculitis
After teaching a group of students about ovarian cysts, the instructor determines that the teaching was successful when the students identify which type of cyst as being associated with hydatiform mole?
A) Theca-lutein cyst B) Corpus luteum cyst C) Follicular cyst D) Polycystic ovarian syndrome
The movement of water in the whirlpool tub stimulates ____________________.
Fill in the blank(s) with the appropriate word(s).