A recent immigrant from Central America is brought to the clinic by her daughter, who has been a U.S. resident for 10 years. The daughter says the stress of immigration has made her mother unwell
For which expression of stress should the nurse be alert during the assessment interview? a. Motor restlessness
b. Somatic complaints
c. Memory deficiencies
d. Sensory perceptual alterations
B
Many people from Central American cultures express distress in somatic terms. The other options are not specific to this patient's cultural background and are not more likely to be observed in persons from Central America.
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A patient who receives peritoneal dialysis is seen in the intensive care unit with a 3-day history of flulike symptoms, including muscle cramps and low blood pressure
Which complication of peritoneal dialysis is the most likely problem for this patient? a. Dehydration c. Fluid obstruction b. Peritonitis d. Hernias
The nurse is caring for a patient from a rehabilitation center with a preexisting complete cervical spine injury who is complaining of a severe headache
The nurse assesses a blood pressure of 180/90 mm Hg, heart rate 60 beats/min, respirations 24 breaths/min, and 50 mL of urine via indwelling urinary catheter for the past 4 hours. What is the best action by the nurse? a. Administer acetaminophen as ordered for the headache. b. Assess for a kinked urinary catheter and assess for bowel impaction. c. Encourage the patient to take slow, deep breaths. d. Notify the physician of the patient's blood pressure.
An elderly client is concerned that he has more wrinkles on the face than a friend who smokes and does not use sunscreen. The nurse should explain that ___________ can also play role in loss of skin elasticity
1. Genetics 2. Medications 3. Exposure to toxins 4. Facial structure
An increase in the production of antidiuretic hormone (ADH) causes:
a. an increased diuresis. b. a decreased urine output. c. decreased aldosterone production. d. decreased fluid retention.