The 22-year-old patient is scheduled for her first gynecologic examination
What can the nurse do to make the patient more comfortable during this exam? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Have a female physician perform the exam.
2. Show the patient what the speculum looks like.
3. Avoid telling the patient what the exam involves.
4. Ask the patient why she has delayed her first Pap test this long.
5. Provide a mirror for the patient.
1,2,5
Rationale 1: The first pelvic examination can be a frightening experience. To reduce fear and improve the patient's sense of control, schedule the exam with a female provider.
Rationale 2: Show the patient all of the equipment to be used.
Rationale 3: To reduce fear and improve the patient's sense of control, create a trusting atmosphere by explaining everything involved in the exam.
Rationale 4: Asking why the patient has delayed her first Pap test is being judgmental, which does not foster a therapeutic relationship.
Rationale 5: Provide a mirror to increase learning about anatomy and to create a trusting atmosphere.
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The new graduate LPN/LVN has been assigned to float to a critical care unit, and has been given two critically ill clients to care for. The nurse should:
1. Call a lawyer. 2. Document the supervisor's action. 3. Notify the supervisor that this care is outside the scope of care for the LPN/LVN. 4. Prepare to care for the clients.
A client has a history of dislocations of the same joint. The nurse understands that this is most likely due to an insufficient deposit of collagen during the healing process leading to which of the following?
A) Loss of function B) Allergic reaction C) Lack of mobility D) Reduced tensile strength
When the patient returns from surgery, the nursing assistant should
A. encourage fluids because the patient has been NPO. B. keep the side rails up until the nurse advises you to put them down. C. take complete vital signs every hour for the rest of the shift. D. stimulate the patient frequently until he awakens.
Denise is attending a grief support group that you are facilitating. She lost her son in Iraq 18 months ago. She confides in you that she went to her son's grave yesterday and broke down
She told you that she hurt as deeply as the day she found out that he had been killed and feels that she would never get through this feeling of intense grief. On listening to her you discover that yesterday would have been her son's twenty-first birthday. What is the best response to Denise? A. "It would be best to avoid the cemetery on dates that might trigger this type of reaction." B. "What happened to you yesterday is understandable and common in people who have lost loved ones." C. "Next time you go to the cemetery you should take someone with you." D. "Why don't you go home and take a bubble bath instead of attending the support group this evening."