The use of empathy and support begins in the stage of the nurse-client relationship termed the
A. orientation stage.
B. working stage.
C. identification stage.
D. resolution stage.
Ans: A. orientation stage.
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The nurse is responsible for maintaining intact skin for the compromised client. Appropriate nursing priorities include:(Select all that apply) Standard Text: Select all that apply
1. Checking pressure points regularly 2. Regular turning and repositioning schedules 3. Strict precautions to provide clean care to the wound 4. Delegation to unlicensed assistive personnel 5. Documenting care given
A 42-year-old client was admitted with partial and full-thickness burns over 45% of the body. The nurse identifies that the initial goal in treatment for these burns would be:
1. preventing dehydration and infection. 2. preventing scarring and infection. 3. combating shock and preventing infection. 4. preventing hemorrhage and shock.
A family member of a client in a long-term care facility asks the nurse why he cannot insert a catheter so the client will not develop skin breakdown from being wet. What should the explanation include when the nurse responds to the family member?
A) Catheters are no longer used for treatment of incontinence. B) Older adult residents are able to have catheters inserted if the family requests them. C) The invasive nature of the catheter provides a portal for infection. D) If a catheter is inserted, it must be flushed with normal saline daily.
The client with pancreatitis is being weaned from parenteral nutrition (PN). The client asks the nurse why the PN cannot just be stopped
The nurse includes in a response to the client that which of the following complications could occur with sudden termination of PN formula? 1. Dehydration 2. Hypokalemia 3. Hypernatremia 4. Rebound hypoglycemia