The use of "I" messages by the nurse means that the nurse has developed the ability to:
1.
be assertive.
2.
manage others.
3.
give excellent directions.
4.
be a leader.
ANS: 1
The use of "I" messages is one of the rules of being assertive. These messages allow the nurse to take responsibility for personal feelings and share them with the appropriate person.
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A patient has GERD and is taking ranitidine (Zantac). She continues to have gastric discomfort and asks whether she can take an antacid. Which of the following is an appropriate response by the nurse?
A) "Sure, you may take an antacid with ranitidine." B) "No, the two drugs will work against each other." C) "Yes, but be sure to wait at least 2 hours to take the antacid after you take the ranitidine." D) "I wouldn't advise it. You may experience severe constipation."
The nursing intervention that constitutes false imprisonment is:
a. The client is confused and combative. He insists that no one can stop him from leaving. The nurse restrains him without a physician's order, then seeks the order. b. The client has been "pesky," seeking the attention of nurses in the nurses' station much of the day. Now the nurse escorts him to his room and tells him to stay there or he'll be put into seclusion. c. A psychotic client, admitted as an involuntary patient, runs out of the psychiatric unit. The nurse runs after him and succeeds in talking the client into returning to the unit. d. A client, hospitalized as an involuntary admission, attempts to leave the unit. The nurse calls the security team and, acting on established protocol, they prevent him from leaving.
A client has nephrotic syndrome. Which finding shows that therapy is effective?
a. Serum albumin level, 2.8 g/dL b. Serum albumin level, 4 g/dL c. Urine protein level, 3.7 g/24 hr d. Potassium, 4.2 mEq/L
The nurse is caring for a patient with prostate cancer with metastasis to S-1 and the adjacent nerve root. The patient complains of unrelenting pain
When collaborating with the provider, the nurse would advocate for which example of balanced analgesia? 1. Use escalating doses of an opioid analgesic per the third step of the World Health Organization (WHO) analgesic ladder. 2. Use an opioid around the clock rather than on an as-needed (prn) basis. 3. Begin with the first step of the analgesic ladder as described by the World Health Organization (WHO), and then evaluate the client's response. 4. Use an opioid for background pain and gabapentin (Neurontin) for the neuropathic pain.