A 64-year-old obese man is admitted to the hospital for treatment of heart failure secondary to alcoholism. For which of the following negative consequences should the nurse assess?
A) Chronic pain
B) Obstructive sleep apnea
C) Parkinson disease
D) RLS
Ans: B
Factors associated with increased risk for obstructive sleep apnea include obesity, diabetes, stroke, Parkinson disease, congestive heart failure, genetic predisposition, craniofacial anatomic features, and the use of alcohol or medications that depress the respiratory center.
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The nurse is caring for a client who received spinal anesthesia. The client calls the nurse into the room, saying, "Come quick! I can't feel my legs!" The nurse's best response is:
1. "I will call the doctor immediately." 2. "Loss of feeling is normal, and will subside as the anesthesia wears off." 3. "Have you fallen or injured yourself in any way since surgery?" 4. "Did this occur suddenly, or have you noticed this ever since surgery?"
A licensed vocational nurse has a reputation for providing excellent nursing care but being passive in her interactions. What behavior is most clearly associated with being passive?
A) Frequently criticizing managers and supervisors B) Seeking approval for every decision that she makes C) Being unclear about her true character and identity D) Failing to clearly express what she really wants or feels
A physician is noting the recent vital signs for several patients on an acute medical ward of a hospital. Which of the following hospital patients with noninfectious diagnoses would most likely have a fever?
A) A 71-year-old female with limited mobility, chronic obstructive pulmonary disease, and vascular dementia B) A 33-year-old female with a postoperative deep vein thrombosis and pulmonary embolism C) A 51-year-old obese male with hepatic encephalopathy secondary to alcohol abuse D) A 71-year-old male with congestive heart failure and peripheral edema
A mental health nurse practitioner has a client with a somatoform disorder. This client is being seen on an outpatient basis
What is a realistic outcome the nurse practitioner would expect of this client near the end of the nurse–patient relationship? A) Expresses feelings of pain and distress B) Verbalizes alteration in physical functioning C) Discusses present health problem with health care provider and family D) Acknowledges physical pain