Your client is a bed-bound 92-year-old with end-stage dementia. Her 65-year-old daughter provides all of her care, along with caring for her disabled husband
You note that she has had more colds lately, and she states that she is "exhausted." However, when you try to assess her state of mind, she consistently changes the subject, avoiding any more discussion about herself. You learn from her husband that she is regularly drinking larger quantities of alcohol to "relax." Your nursing diagnosis is:
1. Compromised family coping.
2. Caregiver role strain.
3. Ineffective coping.
4. Disabled family coping.
ANS: 3
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a. Decreased cardiac output b. Deficient fluid volume c. Social isolation d. Imbalanced nutrition: more than body requirements
A client is admitted with the diagnosis of fever of unknown origin. Which diagnostic tests does the nurse anticipate for this client?
Select all that apply. A) CT scan of the abdomen B) Chest x-ray C) Urinalysis D) Complete blood count E) Bone scan
The leading cause of traumatic death in the elderly is due to
A. Motor vehicle accidents B. Pedestrian injuries C. Falls D. Burns
A 28-year-old female client presents at the emergency department with a rapid onset of fever and chills, with flank pain, pyuria, nausea, vomiting, and headache. Laboratory results indicate bacteriuria, WBCs, and casts
What condition should the nurse suspect? A) Chronic cystitis B) Acute pyelonephritis C) Interstitial cystitis D) Glomerulonephritis