A nurse considering how to plan a nursing career could look at which of the following demographic changes as a social issue that affects nursing?

1. decreasing life span
2. growing number of elderly
3. increased tendency toward rural living
4. higher mortality rates for older adults


ANS: 2

Nursing

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A nursing plan of care for a patient in diabetic ketoacidosis (DKA) includes altered tissue perfusion. Why is this an appropriate nursing diagnosis?

A) Decreased extracellular fluid volume leads to decreased tissue perfusion through anaerobic metabolism. B) Kussmaul's respirations cause panting and water loss through evaporation. C) Ketoacidosis causes respiratory acidosis D) Low blood pH shifts the oxyhemoglobin dissociation curve to the left, causing poor tissue oxygenation

Nursing

The nurse is caring for a patient who has been recently diagnosed with late stage pancreatic cancer. The patient refuses to accept the diagnosis and refuses to adhere to treatment. What is the most likely psychosocial purpose of this patient's strategy?

A) The patient may be trying to protect loved ones from the emotional effects of the illness. B) The patient is being noncompliant in order to assert power over caregivers. C) The patient may be skeptical of the benefits of the Western biomedical model of health. D) The patient thinks that treatment does not provide him comfort.

Nursing

You have a 15-year-old neighbor who chooses to speak to you about a friend who is talking about suicide. As you near the end of your conversation with the neighbor, you give the neighbor information about the local community mental health center. As a nurse, you know that all community mental health facilities must provide:

A) Suicide prevention programs for all age groups B) Detoxification programs for patients on 72-hour hold C) Family therapy programs D) Emergency electroconvulsive therapy (ECT) capability

Nursing

A client diagnosed with type 2 diabetes mellitus becomes diaphoretic and irritable during exercise. The blood glucose level at this time is 53 mg/dL. Which of the following should the client be instructed to do when this occurs?

1. Ingest 5 to 10 g of a simple carbohydrate. 2. Ingest 10 to 15 g of a simple carbohydrate. 3. Ingest 15 to 25 g of a simple carbohydrate. 4. Call paramedics.

Nursing