A 75-year-old patient who is being discharged home after a stroke has no use of the right hand.Which teaching strategy is best for the nurse to use for this patient?
A) Provide all the teaching at once, immediately before going home so the patient will remember it. B) Teach the patient with the aid of a computer to demonstrate that the discharge instructions are on the hospital webpage. C) Teach the patient using generic patient discharge information about strokes. D) Provide information based on the patient's needs in frequent sessions.
During the examination of a woman in her second trimester of pregnancy, the nurse notices the presence of a small amount of yellow drainage from the nipples. How does the nurse interpret this finding?
A) An indication that the woman's milk is coming in. B) A sign of possible breast cancer in a pregnant woman. C) Most likely colostrum and considered a normal finding at this stage of the pregnancy. D) Too early in the pregnancy for lactation to begin and refers the woman to a specialist.
Soon after parents announced they were divorcing, a child stopped participating in sports, sat alone at lunch, and avoided former friends. The child told the school nurse, "If my parents loved me, they would work out their problems." Which nursing diagnosis has the highest priority?
A) Social isolation B) Decisional conflict C) Chronic low self-esteem D) Disturbed personal identity
A child has been diagnosed with enuresis. TCA imipramine (Tofranil) has been prescribed for the child. The nurse understands that this medication is in which category?
A) Antidepressant B) Antidiuretic C) Antispasmodic D) Analgesic
Which patient would be most appropriate to refer for assertive community treatment (ACT) ? A patient diagnosed with
A) a phobic fear of crowded places. B) a single episode of major depressive disorder. C) a catastrophic reaction to a tornado in the community. D) schizophrenia and four hospitalizations in the past year.
Prior to attaching the fingertip oximeter sensor to a 4-year-old child,what teaching should the nurse provide to the child and parents?
A) The sensor will not hurt. B) This sensor will pinch but you will hardly feel it. C) After the child is breathing better,the sensor will be discontinued. D) The doctor has ordered us to use the sensor to check the oxygen level.