Author Question: The patient is a 66-year-old patient who has been admitted to the hospital for a transient ischemic ... (Read 51 times)

CQXA · **on:** Jul 22, 2018

The patient is a 66-year-old patient who has been admitted to the hospital for a transient ischemic attack (TIA). Her health care provider has told her that she should consider retiring from her high-stress position as a hospital administrator.

The patient is distraught over this suggestion. The nurse caring for her recognizes the most likely cause of distress is a result of a change in which of the following? a. Body image
b. Role performance
c. Self-esteem
d. Identity

Question 2

The young mother of an 8-month-old patient brought her daughter to the clinic after taking the little girl's temperature rectally and obtaining a reading of 100.4 F. The mother was concerned that her daughter might be ill.

Which of the following is the best response? a. Children usually run lower rather than higher temperatures when ill.
b. Because of her age, it is probably a bac-terial infection.
c. Rectal temperatures are higher than temperatures obtained orally.
d. When taking multiple temperatures, the sites should be rotated.

jazzlynnnnn · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

B
Role performance is the way in which a person views his or her ability to carry out significant roles. This patient is being told that she will have to give up her role as an administrator. Body image involves attitudes related to the perception of the body, including physical appearance, femininity and masculinity, youthfulness, health, and strength. There are no overt bodily changes here. Self-esteem is an individual's overall sense of personal worth or value. This could be an issue, but it is based in the change in her role. Identity involves the sense of individuality and being distinct and separate from others. Being oneself or living a life that is genuine and au-thentic is the basis of true identity. What was true of self-esteem can be true of identity.

Answer to Question 2

C
Depending on the site, temperatures will normally vary between 36 C (96.8 F) and 38 C (100.4 F). It is generally accepted that rectal temperatures are usually 0.5 C (0.9 F) higher than oral temperatures. Children have immature temperature control mechanisms, so temperatures sometimes rise rapidly. Most fevers in children are of viral origin, lasting only briefly, and have limited effects. Use the same site when repeated measurements are needed.