The nurse caring for a postpartum client would consider the nursing diagnosis of ineffective individual coping when the client demonstrates which behavior?
A) Reading material on care of a newborn
B) Lying in bed, lights dim, and refusing to spend time with the baby
C) Cuddling the new infant
D) Talking with friends and family on the phone
Answer: B
The postpartum client who is lying in bed in a darkened room and not wanting to spend time with the new baby is demonstrating signs of ineffective individual coping. The other behaviors would not indicate ineffective copying but rather effective coping and are incorrect.
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During the admission of a patient scheduled for an amputation, a patient relates that she is a practicing Orthodox Jew. What arrangements are appropriate for the nurse to make for this pa-tient?
a. A veil should cover the amputated part. b. A rabbi must be present for the surgery. c. The amputated part should be buried. d. A family member should be present to read the Torah.
The nurse is assessing a client newly admitted to the medical unit. Which statement made by the client alerts the nurse to the presence of edema?
a. "I wake up to go to the bathroom at night." b. "My shoes fit tighter by the end of the day." c. "I seem to be feeling more anxious lately." d. "I drink at least eight glasses of water a day."
The client has not had a full night of sleep since admission to the hospital and wants to feel refreshed after sleep. Which outcome statement does the nurse include for this client?
1. Reassure client that sleep disturbances are easy to manage. 2. The client sleeps for 8 uninterrupted hours within 48 hours. 3. The physician orders a different hypnotic by tomorrow night. 4. The client receives enough sleep at night to eliminate fatigue.
An infant has been born with a known diagnosis of Trisomy 13. The nurse should note that:
1. End-of-life care will be important for the family and the infant. 2. Genetic testing will need to be done immediately after arriving to the neonatal intensive care unit. 3. The family should not hold the child. 4. Education about reducing the chance for another child with Trisomy 13 should be provided for the family.