The client has severe nasal congestion, headache, and sneezing but no rhinorrhea, watery eyes, sore throat, or fever. Which statement made by the client alerts the nurse to the possi-bility of rhinitis medicamentosa?
A. "I have been taking two aspirins every 6 hours for this headache."
B. "My nose doesn't stay open even though I'm using nasal spray every hour."
C. "I have been taking a lot of vitamin C this year to keep from getting so many colds."
D. "The only way I can get to sleep with this nasal congestion is by taking an over-the-counter antihistamine at night."
B
Excessive use of nose drops or nasal spray, especially those with a 12-hour duration of action, causes a severe rebound nasal congestion.
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The nurse includes interventions to improve impaired physical activity in the plan of care for the older resident. Which of the following interventions should the nurse include? (Select all that apply.)
A) Develop an exercise program that promotes maximum heart rate. B) Encourage family to assist in efforts to increase the patient's mobility. C) Include passive range of motion (PROM) in plan. D) Promote a nutritional intake of calcium and protein. E) Provide diversional activities based on the patient's interests and level of function.
The director of your department attends one weekly meeting. The director is seldom at the office outside of the meeting and rarely responds to e-mails when you send questions pertaining to the organization. This is an example of
a. Authority compliance management b. Team management c. Country-club management d. Middle-of-the-road management e. Impoverished management
A new client describes having been in an outpatient group in which he reenacted troublesome incidents with his wife. Other clients served as "alter egos." From this description, the nurse can document that the client had been engaged in:
1. Role-playing 2. Psychodrama 3. Cognitive therapy 4. Consensus building
An 18-year-old female of Southeast Asian ancestry is distraught over the recent appearance of white patches on her forearms and upper arms, which have been subsequently confirmed as vitiligo. Which of the following statements by the woman express an accurate understanding of her condition?
A) "I suppose it's some comfort that my patches are small and will always stay out of sight in the future." B) "I'm thankful that there are medications to cure this, but I'm nervous about the side effects." C) "I suppose this shouldn't come as too much of surprise, since this tends to run in my family." D) "I'm surprised that I ended up contacting that fungus that caused this problem for me."