A patient with bilateral pneumonia is admitted to the intensive care unit. The nurse who initially prepared the plan of care identified that the patient had the collaborative problem of Potential complications: hypoxemia
What made the nurse classify this as a collaborative problem? a. It requires ensuring adequate hydration.
b. It requires monitoring for signs of ac-id-base imbalance.
c. It requires evaluating the effects of posi-tioning on oxygenation.
d. It requires both nursing and physi-cian-prescribed interventions.
D
A collaborative problem is an actual or potential physiological complication that nurses monitor to detect the onset of changes in a patient's status. When collaborative problems develop, nurses collaborate with personnel from other health care disciplines, such as social workers and dietitians and physicians. Adequate hydration, acid-base imbalance, and oxygenation do not make a collaborative problem.
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Which of the following group therapies would be most helpful for clients diagnosed with severe and persistent schizophrenia who are living in a nursing home?
1. Bible-study groups 2. Dialectical behavior groups 3. Mutual-help groups 4. Social skills training groups
A client is admitted to the emergency department with tachycardia, hypotension, and a serum sodium level of 115 mEq/L. What does the client's serum sodium level indicate?
a. Normal serum sodium value b. Hyponatremia c. Hypernatremia d. Hypocalcemia
The patient is afraid to have a thoracentesis at the bedside. The nurse sits with the patient and asks about the fears. During the procedure, the nurse stays with the patient, explaining each step and providing encouragement. What is the nurse displaying?
a. Providing touch b. Providing a presence c. Providing family care d. Providing a listening ear
Trichinella spiralis organisms live in the soil, and people become infected by contact with infected soil
Indicate whether the statement is true or false