The nurse is interviewing an overweight teenager who looks downward and speaks softly when answering questions. The nurse identifies a problem with client's self-concept
Which of the following findings would support the nurse's conclusions? 1. Increased desire to form lasting relationships
2. Decreased ability to form attachments with other people
3. Inability to maintain stable employment
4. Feelings of worthlessness, anxiety, and/or depression
4
Rationale 1: The increased desire to form lasting relationships may be seen in individuals with healthy or unhealthy self-concepts.
Rationale 2: Decreased ability to form attachments to other people results from many factors not limited to poor self-concept.
Rationale 3: Decreased ability to maintain stable employment results from many factors not limited to poor self-concept.
Rationale 4: Problems with self-concept may manifest in feelings of worthlessness, anxiety, and/or depression, among other issues.
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When assessing the scrotum of a male patient, the nurse notices the presence of multiple firm, nontender, yellow 1-cm nodules. The nurse knows that these nodules are most likely:
a. From urethritis. b. Sebaceous cysts. c. Subcutaneous plaques. d. From an inflammation of the epididymis.
Older people have many altered reactions to disease that are based on age-related physiological changes. When the nurse observes physical indicators of illness in the older population, that nurse must remember which of the following principles?
A) Potential life-threatening problems in the older adult population are not as serious as they are in a middle-aged population. B) Indicators that are useful and reliable in younger populations cannot be relied on as indications of potential life-threatening problems in older adults. C) The same physiological processes that indicate serious health care problems in a younger population indicate mild disease states in the elderly. D) Middle-aged people do not react to disease states the same as a younger population does.
A patient with a Foley catheter needs a urine sample for culture and sensitivity. What is the most appropriate action for the nurse to take?
a. Disconnect the drainage tube from the catheter. b. Open the drainage bag and withdraw urine. c. Withdraw urine from the closed system drainage bag. d. Insert a sterile blunt cannula in the catheter port to withdraw urine.
A nurse is caring for an infant post-surgery for pyloric stenosis. Which nursing interventions are appropriate when providing care for this infant?
Select all that apply. A) Administer analgesics, per order. B) Instruct the parents on proper diapering to avoid pressure over the incision. C) Encourage swaddling and rocking to facilitate relaxation. D) Teach the parents to remove the steri-strips during the infant's first bath post-surgery. E) Monitor temperature once per shift.