Having completed an initial assessment, the nurse was overwhelmed with the current problems the family was facing. It was difficult to know where to start. What should be the nurse's first step?
A. Arrange for tangible sources of external support.
B. Help the family explore current and alternative coping mechanisms.
C. Provide information on crisis management and the health issues they are facing.
D. Recognize sources of family resiliency and strength.
ANS: D
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A client who is experiencing excess bleeding during menses is scheduled for a dilation and curettage in a few days. The nurse should instruct the client to:
1. drink extra fluids for several days prior to surgery. 2. avoid using tampons for 2 weeks. 3. come in the day before surgery for insertion of a laminaria. 4. avoid intercourse until after the follow-up visit.
To assess a client for nocturia, the nurse should ask which question?
a. How long can you postpone urination? b. How many times do you wake up at night and urinate? c. Do you leak urine or lose bladder control? d. Do you feel you completely empty your bladder?
A patient with a history of angina is admitted for outpatient cataract surgery. When asked, "What medication do you take for the angina?" she replies, "It is similar to nitroglycerin, and I take it under my tongue. See, I brought it with me"
The nurse is not surprised to see a. isosorbide mononitrate (Imdur). b. amyl nitrite. c. nitroglycerin (Nitrostat). d. isosorbide (Isordil).
What is the best response to a father who tells the nurse that his son "daydreams" at home and his teacher has observed this behavior at school?
a. "Your son must have an active imagination.". b. "Can you tell me exactly how many times this occurs in one day?" c. "Tell me about your son's activity when you notice the daydreams.". d. "He is probably getting tired and needs a rest.".