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.
Example of Health Care Services
For ice massage, ice is frozen in a cylindrical container or a paper cup (A). The top half of the cu
Sensory and motor neurons
Perform Adult Rescue Breathing and One-Rescuer or Two-Rescuer CPR
Apply direct pressure to the patient’s wound.
Cultural Diversity in Health and Illness (9th Edition)