The PACU nurse assesses a bluish discoloration around a postoperative client's umbilicus and realizes this finding may indicate:
a. hypoxia.
b. intra-abdominal or perineal bleeding.
c. a distended bladder.
d. respiratory distress.
ANS: B
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A nurse assesses that a 22-year-old woman who is totally committed to her career and who does not date or socialize is experiencing the Eriksonian crises of _____
Fill in the blank(s) with correct word
A nurse facilitating a social skills group recognizes that one patient monopolizes the group
After the session the psychologist asks the nurse, "Why did you let that patient monopolize the group?" A response from the nurse using appropriate assertiveness would be: a. "I didn't know what I was supposed to do. You could see how much the patient needed to control the meeting. So you don't think it was appropriate to let it be for today?" b. "I didn't let the patient monopolize the group. I wasn't sure if I ought to stop the behavior or let the patient talk. What could I have said to end the patient's monopolizing of the group?" c. "Honestly, I never feel you are satisfied with my work. Why don't you lead the group next time? That will give me an opportunity to observe you appropriately managing the patient's need to monopolize the group.". d. "I felt that the patient needed to express feelings and that the control was a rather tenuous one that required sensitivity and patience. I believe the other patients felt that, too, which is why they let the patient monopolize the group.".
A client in labor is concerned about needing a cesarean section and being asleep during the birth of her baby. Which nursing response is most appropriate?
1. "Your anesthesia provider will require that you go to sleep for surgery." 2. "If a cesarean section is needed, that does not necessarily mean you will need to go to sleep for surgery." 3. "We will do our best to make sure you deliver vaginally, so you do not need to have a cesarean section." 4. "If you need a cesarean section, the anesthesia provider will awaken you as soon as possible after delivery so that you can see your baby quickly."
An expectant couple is determining their compatibility with a healthcare provider. Which question should the nurse encourage the couple to ask first?
1. "Can my children attend the birth?" 2. "What is your philosophy of birth?" 3. "If I have a cesarean birth, can my husband attend?" 4. "What percentage of your clients have episiotomies?"