Why is it important for the newly admitted patient to be included in his care-planning session? (Select all that apply.)
a. So he can maintain some degree of control
b. So he can reject the care plan
c. So he can voice his preferences
d. So he can improve his problem-solving capabilities
e. So he can gain insight to overall goals of care
ANS: A, C, E
Participation in care planning does not allow outright rejection of the plan, nor will it necessarily improve problem-solving skills.
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The nurse in a pediatric ICU is caring for a child who is dying of sickle cell anemia. The child's mother has been unable to eat or sleep and can talk only about her impending loss and the guilt she feels about the child's pain and suffering
What intervention has the highest priority? A) Allowing the patient to express her feelings without judging her B) Helping the patient to understand the phases of the grieving process C) Reassuring the patient that the child's death is not her fault D) Arranging for genetic counseling to inform the patient of her chances of having another child with the disease
Which patients with CVAs are considered candidates for treatment with tPA? (Select all that apply.)
a. A 62-year-old construction worker who had a subdural hematoma 6 months earlier b. A 58-year-old executive with a bleeding ulcer c. A 44-year-old individual who had a sei-zure at the onset of a stroke d. A 40-year-old individual who is taking warfarin (Coumadin) and has an INR of 2.5 e. A 19-year-old young adult with leukemia with a platelet count of 200,000
The Omaha System has a multitude of functions. The system can store data describing problems, symptoms, modifiers, interventions, and outcomes. One of the benefits of the stored data is which of the following?
1. Decreasing services to elderly 2. Allowing patient input of data 3. Researching quality and effectiveness 4. Decreasing time spent with data collection
A patient has a blood pressure of 135/85 mm Hg on three separate occasions. The nurse understands that this patient should be treated with
a. a beta blocker. b. a diuretic and a beta blocker. c. a diuretic. d. lifestyle changes.