A patient with arthritis tells the nurse that she is able to care for herself, her family, and hold employment part-time out of the home. The nurse realizes this patient has achieved:
a. maximum health c. adaptation
b. wellness d. compensation
C
Health is the process through which a person seeks to maintain an equilibrium that promotes stability and comfort. Wellness is the condition in which an individual functions at optimal levels. Adaptation is the process by which a person adjusts to achieve homeostasis or what they are able to do to function. Compensation is a process whereby an individual makes adjustments to achieve a level of functioning.
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Which nursing intervention is most helpful for a client with Alzheimer's disease who has cognitive impairment?
a. Attempt humor to elevate the client's mood b. Explore reasons for the client's altered cognitive function c. Increase environmental stimuli to redirect the client's attention d. Use reminiscence to help the client recall memories and maintain social interaction
The patient with a subclavian line complains of shortness of breath after an infusion. The patient is diaphoretic and the blood pressure is 168/100, higher than a previous reading of 140/86. The nurse assesses these symptoms as an indication of:
1. fluid overload from too rapid an infusion. 2. incorrect dilution of the infused drug. 3. infection from faulty aseptic technique. 4. embolus from introduced air or blood clot.
The burned client's family ask at what point the client will no longer be at increased risk for infection. What is the nurse's best response?
A. "When fluid remobilization has started." B. "When the burn wounds are closed." C. "When IV fluids are discontinued." D. "When body weight is normal."
When a patient is receiving vasopressin (Pitressin), the nurse will monitor for which therapeutic response?
a. Improved appetite b. Increased serum albumin levels c. Increased serum potassium levels d. Decreased urinary output