An older patient is diagnosed with early-mild Alzheimer's disease. Which should be done at the time of diagnosis?
1. Discuss treatment options and wishes with the patient.
2. Identify a long-term care facility for immediate transfer.
3. Explain that this stage of the disorder can last up to 10 years.
4. Instruct family members to slowly improve the home environment for safety.
1
Rationale: Early diagnosis provides the family and the older person with the opportunity to discuss treatment options and wishes while the older person still has decision-making capacity.
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A nurse caring for a patient who requires long-term management for severe pain recognizes that the drug of choice for this patient is:
a. aspirin. b. morphine. c. oxycodone. d. acetaminophen.
The nurse is admitting an 8-year-old Vietnamese child who hit a parked car while riding a bike. The child has a fracture of the left radius and femur in addition to a fractured orbit. The child is stoic, and denies pain
The most appropriate initial action by the nurse is to: 1. Use the FLACC scale to determine the child's pain level. 2. Tell the child to ring the call bell if the leg starts hurting. 3. Administer pain medication now and continue on a regular basis. 4. Ask the child's parents to notify the nurse if the child complains of pain.
A woman who had a lower uterine transverse incision for a cesarean birth resulting from cephalopelvic disproportion asks whether this means she cannot have a vaginal birth in the future. Which answer is most appropriate?
a. "A vaginal birth after cesarean birth is never recommended because of the risk for uterine rupture." b. "It is possible to have a vaginal birth with the type of incision you have. You will want to discuss this with your health care provider." c. "Your incision does not permit you to have a vaginal birth in the future." d. "Perhaps you should reconsider any future pregnancies because you are now at high risk for complications."
The community health center is the backbone of the public health system for primary health care. Characteristics of these centers include:
1. They are in large metropolitan areas. 2. Their services are only available to the economically disadvantaged. 3. They must provide comprehensive primary care services and supportive services such as translation and transportation services. 4. They are used for preventive services such as flu shots.