A nurse is reviewing a client's plan of care. Noting the medical diagnosis of endocarditis, the nurse knows that the activity order for this client will be:
a. no restrictions
b. bedrest
c. to ambulate three times a day (TID)
d. to get out of bed to chair three times a day
B
Activity for the client with endocarditis is bed rest to decrease the workload of the heart. The nurse should provide a calm, quiet environment.
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Somatization describes
a. A group of disease symptoms that have no apparent cause b. A physical reaction to an emotional problem c. A symptom of hypochondria d. A physical problem that causes emotional pain or depression
The nurse is removing every other staple from a surgical wound, which has been closed with 15 staples. If the wound begins to separate after removal of 3 of the 15 staples, the nurse should:
a. remove 7 more alternate staples and securely tape with Steri-Strips. b. cover with moist dressing and apply a binder. c. continue to remove staples as ordered because this is an expected outcome. d. leave the 12 staples in place and record the separation.
An older adult patient admitted to the intensive care unit with acute respiratory injury from aspiration is at risk for developing critical illness polyneuropathy (CIP). What information does the nurse provide to this client's family?
1. Prevention of this condition is important because very few persons experience complete recovery. 2. Tight control of blood glucose may help prevent this condition. 3. The major concern with this illness is impairment of the patient's ability to breath. 4. If this condition develops intensive antibiotic therapy will be necessary.
During a fire drill, the nurse manager becomes very assertive and directive in her communications with staff. This type of situational leadership depends on:
a. Supportive behavior by the leader and immature followers. b. The development level of the followers and the type of behavior of the leader. c. Well-developed followers combined with a strong leader who acts quickly. d. The leader's ability to evaluate personnel and communicate that evaluation.