An adolescent is brought to the emergency department by her parents because they were concerned about their daughter's appearance. The client appears emaciated and pale. The parents tell the nurse that the client has been diagnosed with anorexia nervosa
A history, physical examination, and laboratory testing are completed. Which of the following would lead the nurse to suspect that the client will be admitted to the hospital? Select all that apply.
A) Blood pressure of 110/60 mm Hg
B) Elevated serum potassium concentration
C) Decreased serum magnesium concentration
D) Heart rate of 40 beats/min
E) Statements of being "hopeless"
Ans: C, D, E
Indicators for hospitalization include a heart rate near 40 beats/min, blood pressure less than 80/50 mm Hg, decreased serum potassium concentration, decreased serum magnesium concentration, and severe depression and risk for suicide.
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The nurse anticipates certain psychosocial responses to pain from clients. The factors affecting a person's perceptions and reactions to pain include:(Select all that apply) Standard Text: Select all that apply
1. Cultural background can affect pain threshold 2. Cultural background can affect the level of pain that an individual is willing to tolerate 3. Children are often undertreated for pain 4. Education related to pain can affect the perceived quality of life for both clients and their caregivers 5. Previous pain experiences influence a client's expectations for relief
A patient requests multiple cosmetic surgeries. At a certain point, the health care team questions if the overall harm that will result from continuing to do these procedures outweighs the benefit
This dialogue, weighing harms against benefits, is more related to which ethical principle? a. Beneficence c. Justice b. Nonmaleficence d. Veracity
Your client is learning to make decisions related to his diagnosis of prostate cancer and available treatments. Your role is to:
1. direct him to follow the most aggressive treatment protocols available. 2. explain to him that he must follow the directives of his physician. 3. help him to empower himself and make decisions consistent with his values. 4. empower him to make decisions consistent with his values.
Which of the following statements best reflects appropriate documentation?
A) "Client depressed because of fear of breast biopsy" B) "Client with lower back pain" C) "Client unkempt appearance, avoids eye contact" D) "Client has clear lung sounds in right and left lungs"