The nurse is caring for a hospitalized 13-year-old girl who is ...

[asan beg]

The nurse is caring for a hospitalized 13-year-old girl who is questioning everything the medical staff is doing and is resistant to treatment. How should the nurse respond?
 
  A) Let's work together to plan your day along with your treatments.
  B) The sooner you cooperate, the sooner you will get to leave.
  C) If you are more cooperative, perhaps we can arrange a visit from your friends.
  D) Please don't make me call your parents about this.

Question 2

Which of the following would lead the nurse to suspect that a postpartum woman is having a problem?
 
  A) Elevated white blood cell count
  B) Acute decrease in hematocrit
  C) Increased levels of clotting factors
  D) Pulse rate of 60 beats/minute

[nguyenhoanhat]

Answer to Question 1

A
Response:
Collaborating with the adolescent will provide her with increased control. The nurse should work with the teen to provide a mutual agreeable schedule that allows for the teen's preferences while incorporating the required nursing care. Threatening to call the parents will most likely promote further resistance. The nurse should try to immediately engage the girl rather than making the nurse's cooperation conditional upon the girl's cooperation. Telling the girl that the sooner she cooperates, the sooner she will leave is inappropriate: the nurse is incorrectly implying that the girl's behavior, rather then her medical needs, are going to determine when she will be discharged from the hospital.

Answer to Question 2

B
Response:
Despite a decrease in blood volume after birth, hematocrit levels remain relatively stable and may even increase. An acute decrease is not an expected finding.
The WBC count remains elevated for the first 4 to 6 days and clotting factors remain elevated for 2 to 3 weeks. Bradycardia (50 to 70 beats per minute) for the first two weeks reflects the decrease in cardiac output.

[asan beg]

Thank you

[nguyenhoanhat]

No problemo