The nurse is identifying outcomes for an older client prone to injuries. Which outcome should the nurse identify as appropriate for this client?
1. The client will demonstrate an understanding of all limitations.
2. The client will establish a buddy system.
3. The client will make uninformed choices when addressing health issues.
4. The client will take his medication as desired.
Correct Answer: 2
Rationale 1: The client may resent limitations and act out in such a way as to cause injury.
Rationale 2: Establishing a buddy system provides social contact, safeguards against abuse, and offers respite for caregivers. It also provides a way for elders to be checked up on daily.
Rationale 3: Making uninformed choices about one's health would be unsafe instead of safe for the client.
Rationale 4: A routine should be established for medication administration with correct dosage to prevent the possibility of overdose toxicity.
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A home health agency has a policy requiring nurses to make routine visits at night. How might politics be used to change this policy?
1. Make visits during the day and tell the supervisor that the clients are not home at night. 2. Obtain research material to provide reasons why routine nursing visits at night are not as effective as during the day. 3. Encourage others to refuse to make routine visits at night so you will not be alone. 4. Take the supervisor to lunch and invite all the staff to join to talk the supervisor into changing the policy.
The nurse is assisting with a thoracentesis. Place the steps of the procedure for assisting the client in the correct order
Click on the down arrow for each response in the right column and select the correct choice from the list. Response 1. Help position the client and cover the client as needed with a bath blanket. Response 2. Observe the client for signs of distress, such as dyspnea, pallor, and coughing. Response 3. Support the client verbally and describe the steps as needed. Response 4. Support the client throughout the procedure. Response 5. Collect drainage and laboratory specimens. Then apply small sterile dressing over the site.
A nurse is describing the advantages and disadvantages associated with tamoxifen therapy as a means of breast cancer prevention. The nurse would identify that the drug has a beneficial effect on which of the following?
A) Bone mineral density B) High density lipoprotein levels C) Risk for endometrial cancer D) Cataract formation
A pregnant patient is concerned that orgasm will be harmful to the developing fetus. What should the nurse include when responding to this patient's concern?
A) Orgasm during pregnancy is potentially harmful. B) Venous congestion in the pelvis makes orgasm painful. C) Most women do not experience orgasm during pregnancy. D) Some women experience orgasm intensely during pregnancy.