A patient in a detoxification unit asks, "What good will it do to go to Alcoholics Anonymous and talk to other people with the same problem?" The nurse's best response would be to explain that self-help groups such as AA provide opportunities for
a. newly discharged alcoholics to learn about the disease of alcoholism.
b. people with common problems to share their experiences with alcoholism and recovery.
c. patients with alcoholism to receive insight-oriented treatment about the etiology of their disease.
d. professional counselors to provide guidance to individuals recovering from alcoholism.
B
The patient needs basic information about the purpose of a self-help group. The basis of self-help groups is sharing by individuals with similar problems. Self-help is based on the belief that an individual with a problem can be truly understood and helped only by others who have the same problem. The other options fail to address this or provide incorrect information.
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A student is caring for a client who suffered massive blood loss after trauma. How does the student correlate the blood loss with the client's mean arterial pressure (MAP)?
a. It causes vasoconstriction and increased MAP. b. Lower blood volume lowers MAP. c. There is no direct correlation to MAP. d. It raises cardiac output and MAP.
The client presents to Labor and Delivery stating that her water broke two hours ago. Indicators of normal labor include: (Select all that apply.)
1. Fetal heart rate of 130 with average variability. 2. Blood pressure of 130/80. 3. Maternal pulse of 160. 4. Protein of +1 in urine. 5. Odorless, clear fluid on underwear.
According to the American Academy of Pediatrics' (AAP) recommendations on infant nutrition:
1. infants should be given only human milk for the first 6 months of life. 2. infants fed on formula should be started on solid food sooner than breastfed in-fants. 3. if infants are weaned from breast milk before 12 months, they should receive cow's milk, not formula. 4. after 6 months, mothers should shift from breast milk to cow's milk.
The nurse assesses the client's IV insertion site and notes it is warm, red, and tender. Which should the nurse implement first?
1. Slow the infusion rate. 2. Discontinue the IV site. 3. Apply a local anesthetic. 4. Apply warm compresses.