The home health nurse is assigned to care for a client who requires wound care. The nurse is assessing the family's ability to change a wound dressing that the client cannot reach
The nurse asks the family to change the dressing during the visit. After the family demonstrates the dressing change, which response by the nurse is appropriate?
A) "Great job! Let me show you a technique that can make the dressing change more effective."
B) "This wound will never heal if you change the dressing that way."
C) "I'll come and do it every day so that the wound will heal more quickly."
D) "You are not doing it right. I will just have to come every day until you learn how."
Answer: A
To facilitate the client and family member learning this skill, the nurse evaluates their efforts and gently helps them make some changes. This empowers the family and increases the chances of healing. Saying that the family is doing it wrong is demoralizing. Sarcasm only lowers the self-esteem of the family member. Offering to do it every day sends the message that the nurse does not trust the family's ability to learn the proper procedure.
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The nurse is conducting an assessment of a client of the Jewish faith. While questioning the client about nutritional intake, the client states he cannot eat certain types of foods
The client also states that he has fasting requirements that must be followed on religious holidays. Tomorrow is a recognized holiday. To meet the client's request the nurse would A) inform the physician of the patient request and consult the dietician to obtain food preferences for meals. B) document the client preferences on the assessment form. C) explain to the client that he must eat to maintain nutritional intake. D) report the client request at the end of the shift to the oncoming nurse.
An older patient learns that he has metastatic cancer. The patient states: "I must have angered God." This is an example of which type of belief?
a. Biomedical b. Magico-religious c. Naturalistic d. Ayurvedic
A patient with a high risk for coronary heart disease is prescribed a 1750-kcal diet in which 55% of the diet is to be carbohydrates and 20% fat. How many calories should the nurse instruct the patient consume as protein each day?
Record your answer rounding up to the nearest whole number.
An agonist activates a receptor and stimulates a response. When given frequently over time, the body may:
1. Upregulate the total number of receptors 2. Block the receptor with a partial agonist 3. Alter the drug's metabolism 4. Downregulate the numbers of that specific receptor