A nurse wakes the patient for a focused assessment. The patient, trying to rest, tells the nurse, "I wish you would quit waking me up. Do you really need to keep bothering me?" The nurse appropriately responds:
1. "Most patients would love to get the attention that you are getting."
2. "I understand your frustration, but this has been ordered by your physician."
3. "It is necessary that I do a head-to-toe assessment from which I can determine whether there are any changes in your condition."
4. "It is important to assess your blood pressure and pulse since we just started your new blood pressure medicine."
ANS: 4
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A nurse suspects that a patient with type 1 diabetes may be experiencing the Somogyi phenome-non. What symptom supports this suspicion?
a. Headache on awakening and enuresis b. 6 AM blood sugar of 58 mg/dL and nausea c. Abdominal pain and elevated blood pres-sure d. Drowsiness and disorientation after eating
A mother has brought her 10-year-old to the emergency department (ED). The mother tells the triage nurse that the boy was stung by a bee about an hour ago
The mother explains to the nurse that it is very painful and looks swollen, red, and infected. What can the triage nurse teach the mother? A) The pain, redness, and swelling are part of the inflammatory process, but it is probably too early for an infection. B) Bee stings frequently cause infection, pain, and swelling, and, with treatment, the infection should begin to subside late today. C) The infection was probably caused by the stinger, which may still be in the wound. D) The mother's assessment is excellent and the ED doctor will probably prescribe antibiotics to fix the problem.
A group of nurses wishes to improve the ethics of the care their group provides. What is the first step this group should take to reach their goal?
1. Explore the values and beliefs of the physicians with whom they work. 2. Explore their individual values and beliefs. 3. Seek others' input rather than relying on their own ethical determinations. 4. Request that all dilemmas be presented to the Hospital Ethics Committee for resolution.
The nurse has had three patients die during the past 2 days. Which approach is most appropriate to manage the nurse's sadness?
a. Telling the next patients why the nurse is sad b. Talking with a colleague or writing in a journal c. Exercising vigorously rather than sleeping d. Avoiding friends until the nurse feels better