Answer to Question 1
A, B, C, D
Agreeing and making time for conversation, using active listening skills and therapeutic touch, teaching stress reduction strategies, and informing the patient of the risk to health associated with stress are interventions that are within the nurse's scope of practice. Agreeing to witness a telephone conversation could draw the nurse into divorce proceedings when the focus should be on the patient and his health. Referring the patient to the nurse's church counselor without a specific request from the patient may not take into consideration cultural care and could be considered unprofessional. If the patient requested a marriage counselor, a better solution would be to provide a referral to social services that may include a list of possible counselors from which the patient could choose.
Answer to Question 2
D
Peripheral edema is an expected assessment finding in the client diagnosed with right-sided heart failure.
Dyspnea is an expected assessment finding in the client diagnosed with left-sided heart failure.
Confusion is a symptom of hypoventilation.
Dizziness is an expected assessment finding in the client experiencing hypoxia.
Coronary artery bypass graft (CABG). The grafts are often obtained from the patient’s saphenous vein
Positioning the Patient in the Prone Position
Adult, Child, and Infant CPR Standards Cont
Role-Playing a Situation in Which a Patient Is from Another Culture
Remove all jewelry before performing service work on any vehicle.
A symbol used on a Chrysler vehicle indicating a fault with the electronic throttle control.