Chapters 30,31,32
Biofeedback training
What is help me with my thoughts and physiological responses to stress
An 18-month-old patient is brought into the clinic for evaluation because the parent is concerned because the child hits siblings and says only “No” when communicating verbally. Which recommendation by the nurse will be best for this situation?
What is Assure the mother that the child is developing mentally within specified norms.
Patient in Hospice, very close to dying, what do you see in the breathing?
What is Cheyne-Stokes breathing
The nurse closely monitors an older adult for signs of medication toxicity. Which physiological change is the reason for the nurse’s action?
What is Reduced kidney functioning
Name the Kubler-Ross stages marital discord with terminally ill spouse.
What is anger
a 9 YEAR OLD IS IN WHICH STAGE OF DEVELOPMENT ACCORDING TO Erikson
A 2 year old is ordered to have ear drops daily. which action will the nurse take to place eardrops.
What is pull the auricle down and back to straighten the ear canal.
What nurses document about their Hospice patient that has died.
What is time of death, special preparations, location of ID tags, and time of body transfer
A client tells the nurse about a pattern of a strong urge to void, followed by incontinence before the client can get to the bathroom. Based on the data provided, which condition would the nurse suspect?
What is Urge incontinence
A patient is experiencing respiratory acidosis, Which organ system is responsible for compensation in this patient?
What is the Renal system.
It is recommended for females beginning at age 11.
What is the HPV vaccine.
The angle on a 27 gauge, 5/8 inch needle for TB test.
What is 15 degrees
The order in resistance, alarm, exhaustion
What is 2,1,3
What is the best nonmedical approach for excessive worry and work stress - what therapy should she recommend?
What is meditation.
What is a priority instruction for a patient with a new ileostomy?
What is increase fluids.
The hormones that are affected with a patient that just had a motor vehicle accident and likely cause of abnormal VS?
What are epinephrine and norepinephrine?
The nurse is observing a 2-year-old hospitalized patient in the playroom. Which activity will the nurse most likely observe?
What is sitting beside another child while playing with blocks
A veteran is hospitalized after bilateral amputee of the lower part of both legs, injuries sustained during military service - the loss that the nurse will focus plan of care?
What is situational loss?
The nurse is caring for a patient who is having difficulty expressing simple ideas in words. Which type of aphasia will the nurse report to the oncoming shift?
What is Expressive aphasia
Which assessment finding indicates to the nurse that the patient is in stage 4 NREM
What is The patient is difficult to awaken.
To help assess with pain with a 4 year old, what method is best
What is the FACES Scale.
What is a 25 gauge with a 1 inch needle
A patient refuses his medication, what is the nurses first action?
What is ask the patient why is does not want to take the medication.
What is a goal priority for a 30 year old?
What is master career plans
The nurse is caring for a patient who suddenly experiences chest pain. What is the nurse’s first priority?
What is Ask the patient to rate and describe the pain.