An older adult has been accompanied by an adult child to visit a primary care provider. The child has expressed concern about the client's increasing apathy, isolation, and apparent sadness over the past several months;
and the client acknowledges many of the symptoms of depression. Which of the following assessments should the nurse prioritize?
A) Functional assessment
B) Medication assessment
C) Musculoskeletal assessment
D) Cardiovascular assessment
Ans: B
Medications may be risk factors for depression in numerous ways. A functional assessment is necessary, but this is more likely to ascertain the effects, rather than causes, of her depression. Musculoskeletal and cardiovascular assessments are secondary.
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A patient is admitted to the critical care unit with acute respiratory failure secondary to chronic obstructive pulmonary disease. The patient has a 15-year history of emphysema and bronchitis
On inspection, the nurse observes that the patient is experiencing air trapping. While auscultating the chest, the nurse notes the presence of coarse, rumbling, low-pitched sounds in the right middle and lower lobes. On further inspection of the patient, the nurse observes that his fingers appear discolored. This is a result of a. clubbing. c. peripheral cyanosis. b. central cyanosis. d. chronic tuberculosis.
A nurse is using the critical theoretical perspective in daily nursing practice. Which of the following activities would the nurse most likely complete?
a. Criticize health insurance programs as a barrier to health care b. Expose social values underlying the health care system c. Promote individual freedom and decision making d. Exert control over the client's environment
An adult patient has been diagnosed with diverticular disease after ongoing challenges with constipation. The patient will be treated on an outpatient basis. What components of treatment should the nurse anticipate? Select all that apply
A) Anticholinergic medications B) Increased fiber intake C) Enemas on alternating days D) Reduced fat intake E) Fluid reduction
The nurse enters the room of a patient whose cardiac monitor alarm is sounding. Which action should the nurse take first?
A) Greet the patient. B) Turn off the alarm. C) Look at the monitor. D) Check for lead placement.