A 36-year-old woman who had an ascending colostomy angrily declares, "I don't want this hateful thing on my body! This nasty thing is not me." The nurse's most therapeutic response would be:
a. "The colostomy is part of you now."
b. "Let me change the collection bag so you won't feel so nasty."
c. "All ostomates feel this way at first. I'll go get a list of support groups you may want to join."
d. "What about this colostomy concerns you the most?"
D
Asking the patient to name the specific concerns helps to conceptualize where the adjustment problem lies. All other options negate the patient's feelings, reinforce the patient's negative feel-ings, and do not offer any therapeutic response.
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A new mother is concerned because her 1-day-old newborn is taking only 1 ounce at each feeding. The nurse should explain that the
a. Infant does not require as much formula in the first few days of life. b. Infant's stomach capacity is small at birth but will expand within a few days. c. Infant tires easily during the first few days but will gradually take more formula. d. Infant is probably having difficulty adjusting to the formula.
The client receiving Imitrex complains of dizziness. The nurse's highest priority intervention is to recognize that this is a(n) ________ and notify the physician
a. adverse reaction to the medication b. food-drug interaction c. side effect of the medication d. life-threatening reaction to the drug
Which patient requires immediate intervention by the labor and delivery nurse?
1. Multip at 8 cm, systolic blood pressure has increased 35 mm Hg 2. Primip that delivered one hour ago with WBC of 50,000 3. Multip at 5 cm with a respiratory rate of 22 between contractions 4. Primip in active labor with urine output of 100 ml/hour
A nurse is preparing to conduct a community assessment. Upon completing the assessment, which of the following would the nurse expect as the primary outcome?
A) Development of a common bond B) Identification of health-related concerns C) Creation of a health partnership D) Increase in the number of services provided