During an intake physical examination, a patient reports that he has been taking 10 aspirin tablets a day for his arthritis. What question should the nurse ask based on this information?
a. "Can you hear high-pitched sounds?"
b. "Have you noticed deafness in just one ear?"
c. "Do you have ringing in your ears?"
d. "Do you experience dizziness when you stand?"
C
A ringing in the ears (tinnitus) is an indication of aspirin toxicity. The patient should be advised to stop taking aspirin.
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A middle-age adult client states to the nurse "I do want to have liver spots like my parents did as they got older". Which instruction by the nurse is appropriate?
A) Spend at least 15 minutes each day in the sun. B) Increase the intake of calcium. C) Increase the intake of dietary fat. D) Avoid the sun or use a sunscreen to reduce skin damage.
A middle-aged female client tells you that whenever she is stressed she binges on fast food. In the past year since starting a new job she has gained excessive weight and her BMI is > 25
She has a family history of hypertension and coronary heart disease. You talk to her about: 1. Only keeping fruits and vegetables in the house so she is not tempted to eat junk foods. 2. Attending a behavior modification class to learn new coping strategies to help resist eating when she is stressed. 3. Increasing daily exercise and not worrying about occasional binges with fast Food. 4. Starting on medication to prevent hypertension since she has a family history of the disease.
The nurse is discussing the importance of sodium restriction with the caretaker of her client who has moderate to severe CHF. She recommends that sodium from all sources be limited to:
1. < 2 grams/day. 2. 2–3 grams/day. 3. 3–4 grams/day. 4. 5 grams/day.
When caring for a patient of a different culture, it is important for the nurse to understand that
a. The nurse should protect the patient from family intrusion in her health care decisions. b. Working within the established family hierarchy produces better outcomes. c. Women as primary caregivers make independent health decisions. d. Gender is not a factor when it comes to role expectations.