A male client is scheduled for radical bladder surgery for advanced cancer. He appears very anxious and is making sexually inappropriate jokes to the nursing staff. The most appropriate nursing diagnosis for this client is
a. Fear related to threat to biologic integrity
b. Impaired coping related to poorly-developed coping mechanisms
c. Knowledge deficit related to amount of pre-operative education needed
d. Risk for Disturbed body image related to possible sexual dysfunction
D
Radical bladder surgery may cause problems with sexual function, including impotence in men. This makes risk for disturbed body image the most appropriate diagnosis for this client, although the others might be appropriate also.
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Before administering enteral feeding, the nurse can ensure proper tube placement by
a. asking the client to swallow. b. auscultating the stomach as 10 ml of water is injected. c. extracting stomach contents from the tube. d. holding the end of the tube under water to check for bubbling.
To divide fractions, the divisor is inverted and the dividend is multiplied by this reciprocal of the
divisor. Indicate whether the statement is true or false
A patient who was admitted with a myocardial infarction experiences a 45-second episode of ventricular tachycardia, then converts to sinus rhythm with a heart rate of 98 beats/minute. Which of the following actions should the nurse take next?
a. Immediately notify the health care provider. b. Document the rhythm and continue to monitor the patient. c. Perform synchronized cardioversion per agency dysrhythmia protocol. d. Prepare to give IV amiodarone (Cordarone) per agency dysrhythmia protocol.
Which of the following statements made by a nurse reflects a lack of understanding regarding a DNR (do not resuscitate) order?
1. "All family members need to agree before a DNR order can be written." 2. "All terminally ill clients are ultimately required to be declared a DNR status." 3. "The DNR order on the terminally ill client in Room 45 needs reviewed today." 4. "If the client's family can't be located the physician will write the DNR order."