A nurse is caring for a client in the introductory (orientation) phase of the nurse-client relationship. Which of the following communication techniques should the nurse use during this phase?
Review the client's progress toward personal objectives.
Encourage the client to use self-exploration.
Elicit information from the client.
Talk with others who have information about the client.
The Correct Answer is C
During the introductory (orientation) phase of the nurse-client relationship, the nurse should focus on establishing trust and rapport with the client. One way to do this is by eliciting information from the client through active listening and open-ended questioning. This allows the nurse to gather important information about the client's health status, needs, and concerns and helps to establish a foundation for the therapeutic relationship. Reviewing progress toward personal objectives and encouraging self-exploration is more appropriate for later phases of the relationship.
Talking with others who have information about the client may also be helpful, but it is important to prioritize direct communication with the client during this phase.
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Correct Answer is B
Explanation
Cheyne-Stokes respiration is an abnormal pattern of breathing characterized by progressively deeper, and sometimes faster, breathing followed by a gradual decrease that results in a temporary stop in breathing called apnea. The pattern repeats, with each cycle usually taking 30 seconds to 2 minutes ². It is marked by rhythmic waxing and waning of respirations from very deep to very shallow breathing and temporary apnea ¹.
Correct Answer is D
Explanation
When collecting equipment to administer a unit of packed red blood cells, the nurse should use 250 mL of normal saline to initiate the IV for this transfusion ³. Normal saline is the only compatible solution to use with blood or blood components ³. The other options (100 mL of 5% dextrose and 1/2 normal saline, 1,000 mL of lactated Ringer's solution, and 500 mL of 5% dextrose and water) are not appropriate IV fluids to use when administering a unit of packed red blood cells.
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