Which of the following families is at high risk for health problems?
a. A man agrees that he needs to eat better and exercise more but also expresses how busy he is at his job.
b. A man knows that his grandfather, father, and older brother all died of cardiac disease.
c. A man is currently unemployed and despairs about finding a position.
d. A man expresses disappointment that, having been laid off as an executive, his new position pays only about two thirds of his original salary.
ANS: C
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A home health care nurse is visiting a client discharged home after a hip replacement. The client is still on partial weight bearing and using a walker. What safety precautions can the nurse recommend to the client? (Select all that apply.)
a. Buy and install an elevated toilet seat. b. Install grab bars in the shower and by the toilet. c. Step into the bathtub with the affected leg first. d. Remove all throw rugs throughout the house. e. Use a shower chair while taking a shower.
A client diagnosed with an adjustment disorder says to the nurse, "Tell me about medications that will cure this problem." Which of the following are appropriate nursing responses? (Select all that apply.)
1. "Medications can interfere with your ability to find a more permanent problem solution." 2. "Medications may mask the real problem at the root of this diagnosis." 3. "Adjustment disorders are not commonly treated with medications." 4. "Psychoactive drugs carry the potential for physiological and psychological dependence." 5. "Psychoactive drugs will be prescribed only if your problems persist for more than three months."
Why should parents be taught never to give bismuth subsalicylate (Pepto-Bismol) to a child?
a. It contains aspirin that can cause Reye's syndrome. b. It changes stool color making the identification of GI bleeding more difficult. c. It has such powerful antidiarrheal effects that toxic megacolon can occur. d. It produces a paradoxical reaction in children that results in worsening of the symptoms.
The most accurate physiologic reason for respiratory distress in respiratory distress syndrome (RDS) is:
1. Altered surface tension causes fluid and protein leak, preventing atelectasis and ground glass appearance on CXR. 2. Infants with RDS are premature and incidence of RDS increases with increased gestational age. 3. Infants with RDS have a decreased number of alveoli, increased surface tension, and decreased AP diameter, limiting lung development. 4. Infants with RDS have altered surface tension, which produces hyaline membrane, atelectasis, and hypoventilation.