When caring for a terminally ill patient, the nurse understands that one of the most important interventions is:
1. touching and listening.
2. encouraging the patient to express any regrets.
3. assessing for signs and symptoms of impending death.
4. talking to the patient about how other patients have handled the dying process.
1
The simple presence of someone provides support and comfort. Neither words nor actions are necessary unless the patient requires something. Holding hands, touching, and listening are quality nursing responses.
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A patient has just been diagnosed with breast cancer and the nurse is performing a patient interview. In assessing this patient's ability to cope with this diagnosis, what would be an appropriate question for the nurse to ask this patient?
A) "What is your level of education?" B) "Are you feeling alright these days? C) "Is there someone you trust to help you make treatment choices?" D) "Are you concerned about receiving this diagnosis?"
When caring for the patient with type 1 diabetes, the nurse includes which of the following in the plan of care?
1. Administer insulin lispro or aspart immediately prior to the meal. 2. Administer oral hypoglycemic medications ½ hour prior to meals. 3. Observe for hypoglycemia approximately ½ to 1 hour after injecting NPH insulin. 4. Avoid insulin if the patient reports an allergy to sulfa drugs.
Which part of the conduction system receives an impulse from the bundle of His and relays it to the Purkinje fibers?
a. SA node b. AV node c. Right and left atria d. Right and left bundle branches
B. An Individualized Education Plan (IEP)
in terms of body mass index (BMI) at the end of six months. Many of the top managers join the program and the nurse is surprised at the number of employees who also join. A reason for this response could be that the employees: A. Are competing with management as to who is more fit. B. Are self-motivated to become more fit. C. Are responding to subtle pressure to become more fit. D. Really want the dedicated parking spot.