You are getting data from a 15-year-old girl who has been brought to the clinic by her mother. The girl has an eating disorder and has lost 15 lb in 8 days
The patient looks at you and states, "You are the only one who tries to understand!" Your response to her would be:
A) "I'm sure your mother understands."
B) "What is that you want people to understand?"
C) "Have you tried to talk to your family?"
D) "Why do you think I understand you?"
B
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The nurse receives a patient into the postanaesthesia care unit who has had surgery using the anesthetic agent methohexital. The nurse anticipates the patient's need for what in the postoperative period?
A) Assistance in maintaining respirations B) Assistance in moving lower extremities C) Positioning in Semi-Fowler's position D) Analgesia to control the patient's pain
The client has a red wound. How should this wound be cared for?
a. It should be protected and kept moist and clean. b. It needs debridement. c. It needs to be cleansed of purulent exudate and nonviable slough needs to be removed. d. It should be left open to the air to dry.
A nurse working on a pediatric unit teaches a student nurse that the children may require intravenous fluids to be administered through a peripheral line, a central venous access, or a peripherally inserted central catheter
The nurse further notes that on the unit, several patients are candidates for central venous access devices, including: Select all answers that apply. A) a child receiving chemotherapy for cancer. B) a child receiving fluid maintenance prior to diagnostic testing. C) a child who requires long-term intravenous access for hydration. D) a child with pneumonia who requires intermittent medication administration.
The teen returns in a few weeks for a follow-up visit. The parents report poor compliance in wearing the brace. The nurse should take which of the following actions to try to improve compliance:
a. Reinforce positive outcome from bracing b. Explain to the teen that even if the brace does not fit well, it must be worn as ordered c. Tell the teen that no one can tell it is being worn d. Explain to the teen that feelings of frustration with the brace are very immature