The nurse is assessing a client in an outpatient clinic. Which client statement alerts the nurse to possible left-sided heart failure?
a. "I have been drinking more water than usual."
b. "I have been awakened by the need to urinate at night."
c. "I have to stop halfway up the stairs to catch my breath."
d. "I have experienced blurred vision on several occasions."
C
Clients with left-sided heart failure report weakness or fatigue while performing normal activities of daily living, as well as difficulty breathing, or "catching their breath." This occurs as fluid moves into the alveoli. Nocturia is often seen with right-sided heart failure. Thirst and blurred vision are not related to heart failure.
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The nurse is considering asking the patient for permission to involve the patient's family members in the teaching plan for the patient. Which of the following is the best rationale to support this involvement?
a. Involving the family in effective teaching empowers the patient and their support system. b. Teaching family members decreases the number of questions they may ask. c. Educated family members choose not to become part of the health care process. d. The education is interesting although family do not usually care for patients after discharge.
All of the following can normally be present in the aging adult, EXCEPT
a. decreased memory, especially short-term memory. b. increased visual acuity. c. diminished amounts of neurotransmitters. d. diminished total brain weight.
In the initial visit to a recently discharged client with osteoporosis, the home health nurse will reinforce the priority topic of
a. diet low in phosphates. b. exercise regimen. c. hazards to home safety. d. medication administration.
A nursing instructor is preparing a class about rural cultures and the influence on mental health problems. Which of the following would the instructor include as affecting the use of mental health services for this group? Select all that apply
A) Limited access to care B) Lack of available resources C) Geographic similarities D) Diverse cultural groups E) Consistency in treatment approaches