During a conversation with the nurse, the client comments that he rarely goes outside when the sun is shining because he is afraid of developing skin cancer. This would predispose the client for developing:
1. Vitamin D deficiency.
2. Hypercholesterolemia.
3. Hypokalemia.
4. Hypernatremia.
Vitamin D deficiency.
Rationale: The skin functions as a synthesizer of vitamin D (sunlight reacts with cholesterol). Hypercholesterolemia results from factors such as dietary intake and cholesterol that is produced by the body. The skin does retard the loss of fluid and does play a role in fluid and electrolyte balance. Exposure to sunlight does cause both decreased potassium (hypokalemia) and increased sodium (hypernatremia).
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The nurse frequently discusses personal, sensitive topics with clients of both genders. How should the nurse proceed in these conversations?
1. Understand that females use communication to establish independence and status. 2. Be assured that there is no difference between men and women in communication. 3. Women are always more emotional in such conversations than are men. 4. Males and females tend to communicate differently.
A 32-year-old male comes into the ED with chest trauma. He is cyanotic, dyspneic, with a thread rapid pulse, and very hypotensive
a. What medical management would you consider for this client? b. If this client shows flail chest, what else would you want to watch for?
A nurse has been assigned as team leader for the day and is working with two LPNs and two unlicensed personnel. What should the nurse do to ensure success in caring for patients?
a. Give the assignments for the day out to the team and plan to meet right before the end of shift. b. Continuously communicate with the members of the team throughout the entire day. c. Report changes in a patient's condition to the health care provider only. d. Revise each patient's plan of care once a shift.
There are two approaches that allow a nurse to read research evidence in a condensed format. The first is a systematic review. This refers to:
1. Participating in a randomized controlled trial 2. A method of identifying, appraising, and synthesizing research evidence 3. Gathering data for use by a researcher on a particular question 4. An in-depth review done by one person.