A patient diagnosed with an eating disorder refuses to be weighed and says, "I just drank a big glass of water." Select the nurse's best response
a. "Call me after you have emptied your bladder."
b. "This is weight day. Please step on the scale."
c. "I will weigh you tomorrow."
d. "You know the rules."
B
This response is matter-of-fact and reinforces the established limits. The distracters allow the patient to manipulate the nurse, are overly controlling, or use bargaining.
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The nurse and student nurse are observing a cardioversion procedure completed by a physician. At which time is the nurse most correct to identify to the student when the electrical current will be initiated?
A) During stimulation of the SA node B) During repolarization of the heart C) During ventricular depolarization D) During the QRS complex
The nurse is teaching an older adult client how to perform Kegel exercises. Which information will the nurse include in the teaching?
1. "Tighten your perineal muscles." 2. "Tighten your buttocks, perineum, and thighs." 3. "Tighten the muscles of your perineum and buttocks." 4. "Tighten the muscles of your abdomen, buttocks, and perineum."
A client who has a history of angina is scheduled for a hernia repair tomorrow. Which of these nursing interventions is MOST likely to prevent postoperative complications for this client?
a. forcing fluids by mouth b. careful monitoring of intravenous (IV) infusions c. resuming food intake as soon as possible d. maintaining a high Fowler's position
A patient has a low sodium level but normal blood osmolarity. What does the nurse understand about this condition?
a. The two values are not related. b. The patient is overhydrated. c. The patient has pseudohyponatremia. d. The patient has end-stage kidney disease.