After finding the patient with diabetes eating candy, the nurse reminds the patient that the candy will elevate blood sugar levels. The patient's response is: "It's only a little bit, and it won't do anything
" The nurse recognizes the use of a defense mechanism called: a. conversion.
b. denial.
c. repression.
d. regression.
B
The patient is using denial as a defense mechanism. Reality is denied.
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A client is receiving a heparin infusion. The nurse should check the needle site for the heparin infusion for signs of which of the following? Select all that apply
A) Inflammation B) Pain C) Tenderness D) Clot formation E) Itching
The nurse is caring for a 4-year-old with a suspected urinary tract infection. Which approach would be best when attempting to obtain a urine specimen?
A) "I will need a urine sample from you." B) "Let your mom help you tinkle in this cup." C) "Would you please tinkle in this cup right now?" D) "Please void in this cup instead of the toilet."
A renal transplant patient takes sirolimus to prevent transplant rejection. The nurse would expect the patient to also be taking which drugs? A renal transplant patient takes sirolimus to prevent transplant rejection. The nurse would expect the patient to also be taking which drugs?
As related to central nervous system injuries that could occur to the infant during labor and birth, nurses should be aware that:
a. Intracranial hemorrhage (ICH) as a result of birth trauma is more likely to occur in the preterm, low-birth-weight infant. b. Subarachnoid hemorrhage (the most common form of ICH) occurs in term infants as a result of hypoxia. c. In many infants signs of hemorrhage in a full-term infant are absent and are diagnosed only through laboratory tests. d. Spinal cord injuries almost always result from forceps-assisted deliveries.