The 60-year-old female in the post-coronary care unit confides to the nurse, "My life is over. I'll never be able to care for my family, take a vacation, or work in my garden." Which response is most supportive?
a. "You are doing great! You can do all of those things in a few weeks."
b. "You may have to give up some things, but there are other activities you might enjoy."
c. "You are feeling a little blue today. Would you like medication to help your anxiety?"
d. "You sound a little down. Tell me what you think is going to keep you from those activities; we might be able to address the problems."
D
Helping patients identify and face depression is helpful in dispelling it, and talking about her concerns will open up conversation and address the concerns in a problem-solving approach. Telling her that she will be able to resume all activities may be instilling false hope. Medication is not warranted at this point.
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A 45-year-old woman presents to the emergency department complaining of chest pain and feeling anxious. She asks to have an electrocardiogram (EKG) but is told that "heart disease is a man's disease" and is given a prescription for lorazepam (Ativan)
What can the nurse conclude? A. If the woman were older, she may have received an EKG. B. Sex hormones play a powerful role in determining heart disease. C. Stereotyping seriously impacted the care the woman received. D. Women under the age of 45 are at low risk of having heart disease.
Adequate fluid intake is essential to wound healing. If not contraindicated, the nurse should encourage a client with a foot wound to drink at least:
1. 600 mL daily. 2. 1200 mL daily. 3. 1800 mL daily. 4. 2500 mL daily.
A patient has a systemic blood pressure of 120/60 and an ICP of 24 mm Hg. After calculating the patient's cerebral perfusion pressure (CPP), how does the nurse interpret the results?
A. High blood flow to the brain B. Normal intracranial pressure C. Impaired blood flow to the brain D. Adequate autoregulation of blood flow
Which patient is most likely to experience an adverse reaction to inhalation anesthesia?
1. A 15-year-old with diabetes mellitus 2. A 6-year-old with no chronic health problems 3. A 79-year-old with arteriosclerosis 4. A 55-year-old with a serious neck injury