A frail client with multiple chronic medical conditions has a chronic, infected, malodorous wound. The client begins to cry when the nurse tries to explain to the client an aggressive ap-proach to wound care
The nurse should revise the plan to focus on a. better pain control so the client can tolerate the aggressive therapy.
b. palliative care and quality of life.
c. the client's emotional barrier to the recommended treatment.
d. the possibility of eventual amputation.
B
For frail clients with little hope of recovery (especially in the setting of multiple chronic illnesses), aggressive treatment may not be appropriate. Palliative care, including pain control, odor management, drainage control, and quality of life, should become the main concerns.
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A patient who has schizophrenia calls the nurse into the room and says, "Help me! The books are on fire!" Which response by the nurse is best?
a. "I'll get some water and put it out." b. "That's crazy; you know the books are not on fire!" c. "I do not see any fire. Here is your supper; it's time to eat." d. "You don't have any books; how could they be on fire?"
Which of the following dependent variables is suitable for logistic regression analysis? (Select all that apply.)
a. How many compressions were delivered in the first minute post-code b. Serum sodium value c. Born on earth–not born on earth d. Height at adulthood e. Birth gender f. Whether a patient with cancer goes into remission
A client is being treated for bleeding esophageal varices with a Sengstaken-Blakemore tube. Nursing care will include which of these approaches?
a. allowing the client to assume a position of choice b. emptying the drainage bottle and recording output c. periodically deflating the balloon d. providing sips of ice water every 30 to 45 minutes
After a class discussion about the contributions of Lillian Wald to the advancement of community health nursing, which of the following if stated by the class indicates that the discussion was effective?
A) Establishment of family-centered nursing and outreach services in New York City at the turn of the 20th century B) Use of clean and safe nursing care practices to soldiers during the Crimean War in the 1850s C) Assistance to high-risk populations experiencing tropical diseases in Central America and the Caribbean in the late 1800s D) Creation of home nursing services in London, marking the beginning of district nursing in the 1860s