A patient on penicillamine therapy should be told that the treatment:
1. will resolve her symptoms of rheumatoid arthritis.
2. will halt the progression of the disease.
3. may slow or halt the progression of the disease.
4. is a cure for arthritis.
3
Penicillamine is known to be effective in relieving the symptoms of arthritis and in some ways stops the disease progression.
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A 70-year-old patient with a history of hypertension has a blood pressure of 180/100 mm Hg and a heart rate of 90 beats per minute. The nurse hears an extra heart sound at the apex immediately before the S1
The sound is heard only with the bell of the stethoscope while the patient is in the left lateral position. With these findings and the patient's history, the nurse knows that this extra heart sound is most likely a(n): a. Split S1. b. Atrial gallop. c. Diastolic murmur. d. Summation sound.
An 80-year-old woman who lives alone has begun calling friends and complaining in an exaggerated
fashion about minor aches and pains. Her physician found no significant medical problems. Over the course of a month, she obtained a number of prescriptions for pain medication, none of which seemed to be effective. Friends counseled her that aches are a normal part of life for the elderly and tried unsuccessfully to involve her in activities. She often suggested that she would be better off dead, to which one friend responded "Well, perhaps. It would get you out of your misery.". As she became increasingly "needy" and demanding of attention, friends agreed that her behavior made them uncomfortable and began to call and visit less. The woman took four pain pills and called a neighbor, saying she had overdosed. After medical clearance, the client will be monitored at the mental health clinic. Nursing interventions that have been agreed on for the client include hope instillation, coping enhancement, and support system enhancement. Measures designed to enhance the client's support system include (more than one answer may be correct) A. providing services in a caring manner. B. providing a referral to a self-help group. C. teaching cognitive restructuring. D. encouraging relationships with friends. E. identifying areas of hope in life. F. arranging situations that foster autonomy.
The RN fulfills the role of a leader by
a. acting as an advocate for the client by relating the client's desires to the health care provider. d. easing the transition to the new working environment by teaching the philosophy of the unit. b. seeing the client as having the control and ability to manage the treatment regimen. e. explaining to co-workers the rationale behind decisions, schedules, and assignments. c. discussing co-workers with other nurses to clarify issues. f. reminding other nurses of the opportunities of the nursing profession and motivating them to do their best.
The nurse is caring for clients in a long-term care facility. Which of the following conditions would not be reimbursed if they occur while the client is in the facility?
A) Pneumonia B) Respiratory distress C) Gastrointestinal alterations D) Pressure ulcers