An older adult patient with dementia is seen at the clinic for a physical examination. The son tells the nurse, "I don't know how much more of this I can do
There is so much work involved in just getting my dad out of bed in the morning, and I can't communicate with him. I'm just so tired." The nurse recognizes that the son is most likely experiencing:
a. Symptoms of depression
b. Caregiver role strain
c. Serious frustration
d. Resentment over being the only care provider
ANS: B
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The nurse is assessing a pregnant patient at 32 weeks' gestation. The patient reports difficulty sleeping at night because of back pain. Which recommendation may improve the patient's comfort while sleeping?
1) Sleep on stomach 2) Sleep with head elevated on two pillows 3) Lie on left side with legs and back supported by pillows 4) Lie flat on back with legs fully extended
A patient you are caring for is receiving a bolus tube feeding through a nasogastric (NG) tube. You observe the patient is comfortable and resting in the supine position. Should you take any action?
What will be an ideal response?
The nurse wanted to determine the community's level of self-esteem and well-being. Which of the following would be the most effective way to systematically and accurately determine the satisfaction level?
a. Asking every community member, "What is your level of self-esteem?" b. Asking the employing agency's director, who lives in the community, about satisfaction level c. Distributing self-esteem scales to a random sample of community members d. Observing the clients currently using certain community-based services
An 18-month-old child develops an urticarial reaction after a transfusion. The prescriber orders intravenous promethazine (Phenergan). What will the nurse do?
a. Give the medication as ordered. b. Monitor the child for bronchoconstriction. c. Question the order. d. Request an order to give the drug orally.