Ref # 2065
A client expresses anger when a call light is not answered within five minutes.
The client demanded a blanket. How should the nurse
... [Show More] respond?
"I see this is frustrating for you. I have a few minutes so let's talk."
This is the best response because it gives credence to the client's feelings and then concerns. To say
"let's talk" and ask a why question is not a therapeutic approach because it does not acknowledge or
validate the client's feelings. To apologize and not notice the client's feelings is inappropriate. To say it
could have waited a few minutes is rude and non-accepting of the client's verbalized needs.
Ref # 2134
The client is admitted to an ambulatory surgery center and undergoes a right
inguinal orchiectomy. Which option is the priority before the client can be
discharged to home
Post-operative pain is managed
An orchiectomy is the surgical removal of one or both testicles. It is usually performed to treat cancer
(testicular, prostate or cancer of the male breast), but it may also be performed to prevent cancer (with
an undescended testicle.) Due to the location of the incision, pain management is the priority. Most men
will be able to eat regularly when they get home; they should at least tolerate liquids before discharge.
It's important that the client is able to get up and walk with assistance, but this is not the priority.
Psychological counseling may be needed as part of long-term aftercare, but this is not an immediate
priority.
Ref # 1524
A nurse is teaching a group of adults about modifiable cardiac risk factors.
Which of the following should the nurse focus on first?
Smoking cessation
Smoking cessation is the priority for clients at risk for cardiac disease. Smoking's effects result in
reduction of cell oxygenation and constriction of the blood vessels. All of the other factors should be
addressed at some point in time.
Ref # 1721
The clinic nurse is assisting with medical billing. The nurse uses the DRG
(Diagnosis Related Group) manual for which purpose?
Determine reimbursement for a medical diagnosis
DRGs are the basis of prospective payment plans for reimbursement for Medicare clients. Other
insurance companies often use it as a standard for determining payment. KEYWORDS DRG
diagnosis related..........................................................................................................................................................CONTINUED [Show Less]