A nurse organizes a nursing care plan on the nursing diagnosis of "Acute pain, related to postherpetic neuralgia." Which is the least appropriate implementation?
a. Give antiviral medication as prescribed.
b. Generously administer pain medication.
c. Offer guided imagery or distraction tech-niques.
d. Have the patient ambulate several times daily.
D
Ambulation certainly is not helpful for the pain. Very little helps the neuralgic pain except direct implementation.
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The nurse who has not been immunized for hepatitis B has a needlestick injury. What treatment should this nurse receive?
1. Hepatitis B vaccine and hepatitis B immune globulin (HBIG) 2. Hepatitis B vaccine 3. Evaluation of liver function tests in 10 days 4. Hepatitis B immune globulin (HBIG)
A few nurses on a unit have proposed to the nurse manager that the process for documenting care on the unit be changed. They have described a completely new system. Why is it important for the nurse manager to have a critical attitude?
It will help the manager to: a. Consider all the possible advantages and disadvantages b. Maintain an open mind about the proposed change c. Apply the Nursing Process to the situation d. Make a decision based on past experience with documentation
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1. Encouraging the boy to tell his friends about healthy nutrition, so they are not tempting him with fast food 2. Referring the boy to a psychologist in order to deal with the new diagnosis 3. Reminding the boy of the activities in which he can continue to participate just as he did before the diagnosis 4. Making sure the boy tells everyone about his diagnosis in case there is a problem
The nurse works with 68-year-old client who is having great difficulty managing his blood glucose level. The nurse finds that the client is not following the diet that he had agreed to follow and is eating portions that are far too large
He apologizes and explains that he is grieving the loss of his wife, who died 2 weeks ago. The nurse shares condolences with him on his loss and explain that it is perfectly understandable to have trouble following a new diet while grieving. In this scenario, the nurse is using which principal approach in motivational interviewing? A) Expressing empathy B) Supporting self-efficacy C) Rolling with resistance D) Finding a discrepancy