A client with myocardial infarction has been transferred from a coronary care unit to a general medical unit with cardiac monitoring via telemetry. A nurse plans to allow for which of the following client activities?
a. Strict bed rest for 24 hours after transfer.
b. Bathroom privileges and self-care activities.
c. Unsupervised hallway ambulation with distances under 200 feet.
d. Ad lib activities because the client is monitored.
Ans: b. Bathroom privileges and self-care activities.
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Through experience, a nurse has found that the judicious application of affective touch can benefit clients in certain circumstances
A) An elderly client who has just learned that her husband has been diagnosed with Alzheimer disease B) A man whose fractured tibia is being set by the cast team at the bedside C) A woman who is being extubated in the postanesthetic recovery unit after surgery D) A client in his early twenties who has a history of schizophrenia and who is experiencing delusions
A client is treated in the clinic for a sexually transmitted infection, and the nurse suspects that the client is at risk for HIV. The physician determines that the client should be tested for the virus. What responsibility does the nurse have?
A) The nurse ensures a written consent is obtained prior to testing. B) The nurse should send the client to have the blood drawn without informing him about the specific screening test. C) The nurse will call the client with the results of the test. D) The nurse will inform the client that the results will have to be reported to the Centers for Disease Control and Prevention (CDC).
The nurse is planning education for a patient who is recovering from diabetic ketoacidosis. What is the most important first step?
1. Assessing the patient's management of diabetes prior to this event 2. Assessing patterns of blood glucose results during the hospital stay 3. Printing information on the management of diabetes during sick days 4. Printing information on how to count carbohydrates and calculate insulin needs
A client newly diagnosed with HIV/AIDS seeks the nurse's assistance with the immediate problem of telling family members about the diagnosis, then regaining an emotional equilibrium. The nurse knows this is the primary goal of:
A) Remotivation therapy. B) Self-esteem intervention. C) Reminiscence therapy. D) Crisis intervention.