Which of the following clients shows the greatest risk factor for stress coping related to situa-tional stressors?
1. An 18-year-old high school athlete who breaks his leg just before college football tryouts
2. A 75-year-old widow whose only son is severely injured in an automobile acci-dent
3. A 36-year-old who loses his job days after his marriage to his high school sweet-heart
4. A 60-year-old who is diagnosed with prostate cancer after deciding to retire from his job of 26 years
ANS: 2
The timing of stress-inducing events significantly influences older adults' ability to cope. The fact that older adults have several stressful events (i.e., loss of a spouse and new medical diagno-sis) occur within a short period of time often results in negative effects on coping ability. The re-maining options reflect stressful situations but to lesser degrees.
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A client is scheduled for a test that requires an NPO status and has been ordered 5% dextrose in water (D5W). The nurse understands which of the following to be the best rationale for this action?
A) Isotonic solutions maintain body fluid balance. B) Hypotonic solutions replenish the cells. C) Hypotonic solutions reduce need for circulatory fluids. D) Hypertonic solutions replace lost fluids.
The school nurse at the elementary school is preparing a presentation for parents on promoting self-esteem in children. What are some self-esteem promotion strategies she will teach at the presentation? Select all that apply
a. Treat children with respect. b. Be firm and consistent in applying rules. c. Do not allow children to make decisions independently. d. Provide frequent positive and negative criticism.
Inform the nurse if the mother
A. needs to urinate. B. needs to have a bowel movement. C. has not had a BM by the end of your shift. D. has not voided by the end of your shift.
The physician has ordered intravenous phenytoin (Dilantin). The patient is also receiving 5% dextrose in water (D5W) intravenously (IV). What will the nurse plan to do before administering this medication? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply
1. Use a large vein for the infusion. 2. Use an intravenous (IV) line with a filter. 3. Flush the intravenous (IV) line with saline. 4. Monitor the patient for hypertension. 5. Monitor the patient for Stevens-Johnson syndrome.