A client who wishes to have an unmedicated birth is in the transition stage. She is very uncomfortable and turns frequently in the bed. Her partner has stepped out momentarily. How can the nurse be most helpful?
1. Talk to the client the entire time.
2. Turn on the television to distract the client.
3. Stand next to the bed with hands on the railing next to the client.
4. Sit silently in the room away from the bed.
3
Explanation: 3. Standing next to the bed is supportive without being irritating. The laboring woman fears being alone during labor. The woman's anxiety may be decreased when the nurse remains with her.
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A 30-year-old man with a BMI of 59 has recently been diagnosed with type 2 diabetes mellitus. In light of the man's lack of success with weight loss programs in the past, his care provider has prescribed sibutramine (Meridia)
What instructions should the nurse consequently provide to this patient? A) "Take this drug once each day on an empty stomach." B) "It's best to take a dose of sibutramine after each meal." C) "This drug will help you to lose weight without having to exercise or change your normal diet." D) "Take a dose when you feel like you are tempted to binge on food."
The nurse notes a small, indurated, scaled spot on the upper chest of an older patient. The nurse would suspect the physician to diagnose this condition as:
1. Actinic keratosis 2. Basal cell carcinoma 3. Malignant melanoma 4. Squamous cell carcinoma
A pediatric patient is prescribed nelfinavir (Viracept) 450 mg orally. The available drug is 50 mg/scoop. How many level scoops do you measure into the patient's pudding to administer the correct dose?
a. 9 scoops b. 6 scoops c. 3 scoops d. 2 scoops
Which client would the group co-leaders determine is demonstrating Yalom's therapeutic factor termed universality?
1. Client A, who states he realizes he is not the only person who has a problem with loneliness 2. Client B, who displays dysfunctional interaction patterns learned in his family of origin 3. Client C, who states he finally feels a strong sense of belonging 4. Client D, who openly expresses his anger about his work