A patient is in the critical care unit having undergone surgery a week ago for multiple fractures to the his right and left legs secondary to a fall from a rooftop
The patient refuses to participate in morning care activities such as brushing his own teeth or washing his face and hands. The patient yells at the nurse, "You do it! Can't you see that my legs are broken?" The patient is exhibiting a disturbance in a. self-concept. c. body image.
b. self-esteem. d. personal identity.
B
Illness and trauma can rob the person of perspective and shrinks both the familiar world and the one of possibility, often leading to low self-esteem and feelings of powerlessness, helplessness, and depression. A low self-regard impairs one's ability to adapt. The person may refuse to participate in self-care, exhibit self-destructive behavior, or be too compliant.
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A nurse wants to participate in community service by providing education on the leading causes of death for various age groups coupled with appropriate preventative measures. When discussing deaths in teenagers, which topic does the nurse focus prevention
A. Appropriate prenatal care B. Exposure to carcinogens C. Genetic testing D. Violence and injury prevention
A patient is preparing to travel with a 4-year-old child to India in 10 days and is in the clinic to receive typhoid vaccines. Which vaccines will be given to the parent and child?
a. Four capsules of live, oral vaccine to both patients b. Four capsules of live, oral vaccine for the parent and the IM polysaccharide vaccine for the child c. Four capsules of live, oral vaccine for the child and the IM polysaccharide vaccine for the parent d. IM polysaccharide for both patients
A patient admitted for an acute outbreak of herpes-zoster virus is receiving valacyclovir (Valtrex). The nurse provides patient education about valacyclovir (Valtrex)
What comment by the patient indicates a need for further teaching? a. "Valtrex will help reduce the duration of my pain." b. "Valtrex will help reduce the duration of postherpetic neuralgia." c. "Valtrex will prevent recurrent infection." d. "Valtrex may be taken without food."
The nurse must check vital signs on a 2-year-old boy who is brought to the clinic for his 24-month checkup. Which criteria should the nurse use in determining the appropriate-size blood pressure cuff (Select all that apply)?
a. The cuff is labeled "toddler." b. The cuff bladder width is approximately 40% of the circumference of the upper arm. c. The cuff bladder length covers 80% to 100% of the circumference of the upper arm. d. The cuff bladder covers 50% to 66% of the length of the upper arm.