A patient tells the nurse, "I really like you. You're the only true friend I have." The pa-tient's remarks call for the nurse to revisit the issue of:
a. Trust
b. Safety
c. Boundaries
d. Countertransference
ANS: C
The patient's remarks call for the nurse to remind the patient of the parameters of the nurse-patient relationship. The remark would also give the nurse the opening to go on to dis-cuss the matter of friendship. The patient's remarks do not suggest the need to deal with trust, safety, or countertransference.
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For a diabetic client weighing 80 pounds, the nurse would anticipate that the starting dose of insulin will be
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A nurse is caring for a client who is undergoing chemotherapy. A relative of the client wants to bring the client a bouquet of flowers. What is expected of the nurse in this given situation?
A) Set the flowers on the client's table. B) Allow the relative to present the flowers to the client. C) Explain to the relative why the flowers are not allowed in the room. D) Accept the flowers and hand them to the client.
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A) Use a laryngoscope to check for a foreign body lodged in the esophagus. B) Reposition the head to validate that the head is in the proper position to open the airway. C) Turn the client to the side and administer three back blows. D) Perform a finger sweep of the mouth to remove any vomitus.