Perceptions of the nurse's role in health care can vary according to culture. Of the important findings in a study of Philippine-American nurses by Spangler (1992), which of the following is not one of these?
a. expressed dedication to work
b. desire to utilize the latest innovative techniques in the best interest of the patient
c. attentiveness to the patient's physical comfort needs
d. respect and patience that was carried forth into the nurses' relationships with their patients
B
Spangler's (1992) study of Philippine-American nurses revealed an overarching theme of care that prevailed in all dimensions of their work. Three ways in which this was shown were: 1) an expressed dedication to work, 2) an attentiveness to the patient's physical comfort needs, and 3) through the respect and patience that was carried forth in their relationships with their patients.
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A patient with chronic renal failure also has chronic anemia, arteriosclerotic disease, and diabetes mellitus. The patient asks the nurse why the anemia is persisting. In answering the patient's question, what should the nurse most consider?
A) The patient most likely has preexisting chronic anemia. B) Erythropoietin is produced solely in the kidney. C) The patient is receiving low-dose aspirin therapy. D) Chronic renal failure results in persistent uremia.
The nurse is reviewing the patient's current medications as a part of preparation for an elective surgery. What information should the nurse reinforce with the patient?
1. "Continue to take your regular prescribed dose of warfarin (Coumadin)." 2. "You may take your regular herbal supplements up until the day before surgery." 3. "Discontinue your antihypertensive medications two days prior to surgery." 4. "Stop taking your daily aspirin at least three days prior to surgery."
Which statement by a patient who is prescribed heparin indicates to the nurse the need for additional teaching?
a. "I'll be sure to have my follow-up aPTT drawn when the prescriber tells me to." b. "I will not take over-the-counter drugs that contain aspirin." c. "I will get plenty of exercise playing soccer." d. "I'll tell my prescriber if I have headaches."
A 42-year-old male client has a stated history of smoking for 20 years. The client states
he feels fine and asks why he should stop smoking. What information might the nurse share with the client about smoking? A) Smoking decreases the size of the tubes leading to the lungs. B) The chest becomes more elastic with increased time of smoking. C) Carbon dioxide levels may decrease in the lungs due to smoking. D) Smoking causes the respiratory system to increase oxygen delivery to the lungs.