Which conditions contribute to heart failure? Select all that apply.
A. Uncontrolled hypertension
B. Coronary artery disease (CAD)
C. Diabetes (DM)
D. HIV
E. Mitral stenosis
Answer:
A. Uncontrolled hypertension
B. Coronary artery disease (CAD)
C. Diabetes (DM)
E. Mitral stenosis
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The nurse is working in a long-term care facility on a locked Alzheimer unit. Which client assigned to the nurse might require restraints?
1. The client who keeps getting out of bed at night and wandering the halls 2. The client who enters another client's room without reason and watches TV with the client in that room 3. The older adult client who spits at staff when they enter the room 4. The client who has numerous self-imposed scratches on the extremities
A client with schizophrenia tells the nurse "Everyone must listen to me. I am the redeemer. I will
bring peace to the world.". From this the nurse can determine that an appropriate nursing diagnosis to be completed is a. disturbed sensory perception: auditory. b. risk for other-directed violence. c. chronic low self-esteem. d. noncompliance: medication.
The recommended sequence for conducting assessment procedures is to progress from
a. one side to the other. c. anterior to posterior. b. the extremities to the trunk. d. the least intrusive to the most intrusive.
Which of the following clients is most likely to experience difficulty returning to sleep?
1. A 60-year-old with benign hypertropic prostatic disease 2. A 15-year-old with type 1 diabetes 3. A 35-year-old diagnosed with hypothyroidism 4. A 55-year-old diagnosed with hypertension