A home health patient with end-stage renal disease (ESRD) has a nursing diagnosis of powerlessness related to life-altering disease. Which nursing intervention would be most helpful?
a. Ensure restricted protein intake to prevent nitrogenous product accumulation.
b. Include the patient in making the plan of care.
c. Counsel patient about end-of-life provisions.
d. Write out a detailed schedule of physician's appointments.
ANS: B
Listen to the patient and allow time for discussion about concerns and the plan of care to return some sense of control. End-of-life discussions are premature.
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The nurse is working with clients who have connective tissue diseases. Which disorders are correctly paired with their manifestations? (Select all that apply.)
a. Dry, scaly skin rash - Systemic lupus erythematosus (SLE) b. Esophageal dysmotility - Systemic sclerosis c. Excess uric acid excretion - Gout d. Footdrop and paresthesias - Osteoarthritis e. Vasculitis causing organ damage - Rheumatoid arthritis
Both the nurse who injures a patient and the nurse's employer can be held responsible for the nurse's acts
Indicate whether the statement is true or false
On a routine physical exam visit, the physician mentions that he hears a new murmur. The patient gets worried and asks, "What does this mean?" The physician responds,
A) "It would be caused by stress. Let's keep our eye on it and see if it goes away with your next visit." B) "This could be caused by an infection. Have you been feeling well the past few weeks?" C) "One of your heart valves is not opening properly. We need to do an echocardiogram to see which valve is having problem." D) "This may make you a little more fatigued than usual. Let me know if you start getting dizzy or light-headed."
Codeine has a greater maximal ability to suppress cough when compared with dextromethorphan. What is the most appropriate description of codeine when compared to dextromethorphan?
1. Codeine is more efficacious. 2. Codeine is less potent. 3. Codeine is more potent. 4. Codeine is less efficacious.