The nurse is caring for a critically ill patient who is expected to die despite the best efforts of the health care team. What aspect of a critical care unit may most interfere with effective nursing care of this dying patient?
A) View of patient as disease or in terms of technology
B) Critical illness has a high expectation of death
C) Constant family presence at the bedside
D) Multidisciplinary management of patient
A
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The client takes diphenoxylate with atropine (Lomotil) for diarrhea. The client asks the nurse why he does not experience pain relief since this drug is an opioid. What is the best response by the nurse?
1. "This drug is not an opioid; did your doctor tell you that?" 2. "You would really have to take a lot to experience pain relief." 3. "It does provide some relief from the pain associated with diarrhea." 4. "Because this opioid does not have analgesic properties."
Which of the following statements, if made by the pregnant adolescent, indicates that she understands her increased risk of physiologic complications during pregnancy?
1. "It's no big deal that I started prenatal care in my seventh month." 2. "My anemia and eating mostly fast food are not important." 3. "I need to take good care of myself so my baby doesn't come early." 4. "Smoking and using crack cocaine won't harm my baby."
Which diseases are commonly associated with anemia of chronic disease?
a. Rheumatoid arthritis b. Acquired immunodeficiency syndrome (AIDS) c. Polycythemia vera d. Systemic lupus erythematosus e. Chronic hepatitis
The patient tells the nurse that she is concerned about terrorist activity and questions if everyone should be immunized against smallpox. What is the best response by the nurse?
1. "The vaccine has side effects, which are serious and could kill many people." 2. "I really do not think our country has enough vaccine to do this." 3. "Don't be so concerned; if an attack comes, we will immunize people then." 4. "The vaccine has some serious side effects, but this is probably a good idea."