Which of the following is NOT a common concern or worry for the patient having surgery?
A)
fear of the roommate
B)
fear of the unknown
C)
concern for being off work
D)
possibility of death
Answer:
A
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A client is assessed by the nurse after a hemodialysis session. The nurse notes bleeding from the client's nose and around the intravenous catheter. What action by the nurse is the priority?
a. Hold pressure over the client's nose for 10 minutes. b. Take the client's pulse, blood pressure, and temperature. c. Assess for a bruit or thrill over the arteriovenous fistula. d. Prepare protamine sulfate for administration.
A 35-year-old pregnant woman comes to the clinic for a monthly appointment. During the assessment, the nurse notices that she has a brown patch of hyperpigmentation on her face. The nurse continues the skin assessment aware that another finding may be:
a. Keratoses. b. Xerosis. c. Chloasma. d. Acrochordons.
Of the following nursing interventions, which would be least appropriate for a person in rehabilitation post-stroke who states "I just can't believe this happened to me. I can't wait for this to be over so I can go back to my normal life"?
a. teach all of the information the person will need to know to adapt to life after stroke b. provide reassurance and emotional support c. provide essential information, but avoid teaching at this stage d. provide direct care, ensure safety, and involve the family
A 34-year-old mother of three young children who works as an administrative assistant at a university comes to the crisis center due to the inability to sleep, increasing disorganization at her job, and feelings of guilt about her ability to care for
her children and house. She tells the nurse that her husband used to help with the children and house a lot, but because of a recent job pro-motion and additional work hours required, he can no longer do this. The client feels that they cannot afford a full-time housekeeper and has become overwhelmed and depressed over the con-dition of her house. Select the therapeutic technique to be used by the nurse that best helps this client deal with her altered role performance. a. Environmental modification b. Anticipatory guidance c. Confrontation d. Cognitive restoration