This occurs when people are unclear about the expectations of their role in a given situation. The nurse is caring for a client who has a medical diagnosis of end-stage chronic obstructive pulmonary disease (COPD). A nurse is educating a client who has a terminal illness about declining resuscitation in a living will. A. b. b. “I think I should take my pain medication more often, since it is not controlling my pain.” c. Use the planning step of the nursing process to prioritize client care delivery. The nurse cannot predicts what the client’s outcome might be.

Stuck? Which of the following client statements indicates to the nurse that the client has a distorted body image?

Combine client care tasks when caring for multiple clients. a. “I will begin evacuating clients using the elevators” C. “I will not ask any questions and just let the caller talk” D. “I will listen for background noises”, A nurse on a medical surgical unit is informed that a mass casualty event occurred in the community and that it is necessary to discharge stable clients to make beds available for injury victims. Tell the parents that this is a necessary procedure c. Inform the parents that the staff does not require their consent d. Contact a spiritual support person to explain the importance, a. Which of the following actions should the nurse take? a. c. “You would be unable to change your previous wishes about your care.” When the nurse notifies the surgeon, he directs her to continue to measure the client’s vital signs every 15 minds and call him back in an hour. Call for additional staff to assist with the transfer C. Use a transfer belt and assist the client back to bed D. Determine the client’s ability to help with the transfer, D. Determine the client’s ability to help with the transfer, A nurse is completing discharge instructions for a client who has COPD. a. I will return shortly after I document this in your record. She states, “The client said his leg pain was back, so I checked his medical record, and he last received his pain medication 6 hours ago.

c. Place the client in a private room that provides negative-pressure airflow. Encourage the client to communicate his thoughts and feelings, A nurse is caring for a school age child who is sitting in a chair. Cloudy pupils mean that the client has cataracts. Which of the following statements should the nurse identify as an indication that an attendee understands the teaching? Which of the following clients is the priority? A decrease in bowel sounds reflects slowed peristalsis. A. Allergic reaction B. Ringworm C. Systemic lupus erythematosus D. Herpes zoster, A nurse is caring for a client who reports having a severe sore throat, pain when swallowing and swollen lymph nodes. a. The right side flap C. The left side flap D. The flap furthest from the body, A nurse is wearing sterile gloves in preparation for performing a sterile procedure. d. Ask the client to describe how she felt prior to the fall. Encouraging the client to relax and take deep breaths during the postoperative period is important because relaxation can help reduce the client’s anxiety about the procedure. During the anger stage of the client’s psychosocial adaptation to illness, the nurse should focus teaching on the present. Extension cords should be securely fastened to the floor and should be run along the edge of the wall, if possible, to avoid the risk for tripping. Input and output for the shift B. Which statement should the nurse make? Cold extremities 114. a. BUN 15 mg/dL 42. A nurse is preparing to administer an injection of an opioid to a client.

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