Answer to Question 1
ANS: C
Allowing the client to express her feelings is the most appropriate nursing response. The nurse should never provide the client with false reassurance or disregard her feelings. Saying to not worry is belittling the client's concerns and does not allow her to express her concerns. Saying clients commonly worry about surgery is closed-ended and belittling to the client's feelings. Acknowledging the worry but stating that the procedure is just routine is stating that the client's feelings are not important.
Answer to Question 2
ANS: D
With short hospital stays, infants may be discharged with a prescription for home phototherapy. It is the responsibility of the nurse planning discharge to include important information such as the need for a follow-up visit with the health care provider in 2 or 3 days to evaluate feeding and elimination pattern and to have blood work done if needed. The parents should be taught to not apply oil or lotions to prevent increased tanning; the baby's eye shields can come off when the phototherapy lights are turned off, and the infant's temperature needs to be monitored but not taken every 2 hours.
A nurse shows empathy to a client.
Spatial and Response Strategies
The inhibitory response of rods to light. When light bleaches rhodopsin molecules, the rods’ ...
Positioning the client
Survey and posture of client: Lateral view
Testing client’s ability to identify dull sensation