The nurse is caring for a patient with cancer who has been receiving chemotherapy. Based on Maslow's Hierarchy of Needs, which nursing intervention is your first priority?
a. Assess for and treat pain.
b. Determine whether the patient is hungry or thirsty.
c. Explore feelings about dying.
d. Observe client's self-care abilities.
A
Untreated pain affects all biological/physiological needs. So, treating pain comes first. According to Abraham Maslow and his Hierarchy of Needs, lower-level needs (physiological) must be met before higher needs can be achieved. Maslow's hierarchy tells you that until the pain (physiological need) is controlled, the patient cannot consider exploring feelings or participating in self-care.
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a. Express alarm at the constant aggression. b. Voice concern and investigate referral for counseling. c. Inquire about what punitive action the parents have taken to stop it. d. Offer reassurance that such behavior is normal for 8-year-olds.
The nurse provides care in an inner-city hospital with a large immigrant population. In order to provide the most culturally competent care, the nurse should:
1. Plan to attend educational programs to understand ethnic differences in health values. 2. Discuss with the supervisor the types of patients for whom the nurse feels prepared to provide care. 3. Approach the care of every patient in the same manner. 4. Realize that the best care is standardized care.
A person has dementia and is confused. Which site should you use to measure temperature for a reliable reading?
a. Oral b. Rectal c. Axillary d. Tympanic membrane
For which client should the nurse consider applying a transparent film for wound care?
1. The client with a postoperative wound held together by sutures 2. A client with a stage I pressure ulcer 3. The client with a venous stasis ulcer 4. A client with a highly exudative wound