When reviewing a patient's chart, the nurse notes that the patient is in the disorganization stage of grief. Which assessment finding would support this diagnosis?
A) "It doesn't matter what I look like."
B) "I haven't let my children out of my sight. I am afraid something will happen to them."
C) "I had a good time at my class reunion. It was nice to be out with other people again."
D) "I'm sick all of the time. I just can't get rid of this cold."
Ans: D
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During the newborn examination, the nurse assesses the infant for signs of developmental dysplasia of the hip. A finding that would strongly indicate this disorder would be:
1. Soles are flat with prominent fat pads. 2. Positive Babinski's reflex. 3. Metatarsus varus. 4. Asymmetric thigh and gluteal folds.
To implement the concept of the least restrictive treatment environment, care team members
1. monitor the medications schedule. 2. assess the client's ability to live alone. 3. assess the available financial resources. 4. assess the available community resources.
A client is to receive 50 mg of a medication. The medication comes in 80 mg per milliliter. How many milliliters would the RN administer?
A) 0.163 B) 0.63 C) 1.63 D) 16.3
The 75-year-old client who has been diagnosed with stage 0 prostate cancer is concerned that surgery has not been planned. What is the nurse's best response?
A. "This disease is very slow-growing and the risks associated with surgery at your age are not justified by the outcome." B. "Your disease is so advanced that surgery at this point would not increase your chances of cure or length of survival." C. "Your disease is very early stage and slow-growing. Your doctor will monitor you for any indication that it needs to be removed." D. "This stage indicates that you do not really have cancer, just some hyperplasia of the prostate, and surgery is not necessary for you."