The home care nurse completes a genogram of the Mong family. This is done primarily so the nurse can
A) identify those with a history of heart disease.
B) determine how the client defines his or her family.
C) understand marital relationships.
D) identify the next of kin in case of an emergency.
B
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The nurse observes a tarry stool from a 16-year-old burn victim who has been in the ICU for 2 weeks. Which complication does the nurse document and report?
a. Diverticulitis b. Stress diarrhea c. Curling's ulcer d. Perforated bowel
A patient newly diagnosed with breast cancer tells the nurse, "I'm worried I won't survive to see my children grow up." Which response by the nurse best conveys concern and active listening?
1) "There have been many advances in breast cancer treatment; hope for the best." 2) "Breast cancer is a serious disease; I can understand why you're worried." 3) "You're strong and have youth on your side to fight the breast cancer." 4) "I'd be worried too; I've seen a lot of patients die from breast cancer."
A client with a hip fracture is experiencing muscle spasms. The nurse anticipates that the following type of traction may be utilized preoperatively to reduce the spasms:
A) skeletal traction B) manual traction C) Buck's traction D) balanced suspension traction
A nurse is teaching a student nurse how to care for the cast on a patient's arm. Which of the following is a recommended guideline?
A) Handle a plaster cast extremity with the palms of your hands for the first 12 to 24 hours, until the cast is fully dry. B) If the cast is on an extremity, elevate the affected area on pillows covered with waterproof pads. C) Keep the plaster cast covered with gauze until it is completely dry. D) Perform skin and neurovascular assessment according to facility policy, as often as every 3 to 4 hours