The nurse discovers that a patient recovering from surgery is hemorrhaging from the incisional site. What action should the nurse take?
a. Offer oral fluids.
b. Warm the patient.
c. Relieve the patient's apprehension.
d. Apply pressure to the bleeding site.
ANS: D
The first priority is to control the bleeding with direct pressure. A. B. C. The other options may be considered but are not the first priority.
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The nurse is caring for a critically ill patient who can speak. The nurse notices that the patient is demonstrating behaviors indicative of anxiety but is silent
What nursing strategy would give the nurse the most information about the patient's feelings? A) Explain procedures to the patient and family. B) Ask the patient to share his or her internal dialogue. C) Encourage the patient to nap before visiting hours. D) Ensure that the patient has adequate pain control.
The nurse is administering medications to a patient with high blood pressure. The patient states, "This pill made me so sick yesterday. Are you sure I have to take it now?" The nurse should:
a. give the medication because no one gets sick on this pill. b. hold the medication and check the order since there may be a lack of information. c. give the medication since he/she is the nurse and knows what should be done. d. give the medication since the nurse did not see the doctor come so the order is valid.
The new psychiatric-mental health nurse expresses confidence in her ability to perform to expectations. These feelings reflect which domain of psychological empowerment?
1. Impact 2. Meaning 3. Competence 4. Self-determination Impact
During the preinteraction stage, the nurse is preparing for the initial interview. Which of the following settings is the least appropriate setting for the initial interview?
1. The client has been admitted to the hospital with pneumonia. The nurse is preparing to interview the client in the client's private hospital room. 2. The client lives at home. The nurse is preparing to interview the client in the client's living room. 3. The client lives at home. The nurse is preparing to interview the client at a small coffee shop not far from the client's home. 4. The client lives at home. The nurse is preparing to interview the client in the client's backyard.