The nurse is taking care of a patient who suffered a stroke and has a flaccid right arm and leg. He is experiencing urinary incontinence. The nurse is aware that the most common patient response to a change in body image is:
A) Denial
B) Sexual dysfunction
C) Depression
D) Disassociation
Ans: C
Feedback: Depression is a common and serious problem in the stroke patient. It results from a profound disruption in his life and changes in his total function, leaving the patient with a loss of independence. The nurse needs to encourage the patient to verbalize his feelings so as to assess the effect of the stroke on his self-esteem. A patient who had a stroke may be concerned about loss of sexual function.
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The nurse is providing medication teaching to a patient who will begin taking niacin with a bile acid sequestrant. How does the nurse instruct the patient to take these two medications?
A) "Both medications should be taken 4 to 6 hours apart." B) "Both medications should be taken in the morning." C) "One medication should be taken in the morning but the other is taken at bedtime." D) "Both medications can be taken at once just before going to bed."
A patient complains of pain and tenderness in her temporomandibular joint, and a clicking sound is heard on auscultation. These findings most likely are related to
a. arthritis. c. displaced cartilage. b. dislocation. d. infection.
Family members who brought a patient to the emergency department after she had fallen in her home are expressing their feelings of guilt. What is the most therapeutic nursing response?
a. "Someone should really be staying with her to prevent her from falling." b. "Let me see how long it will be before you can see the patient." c. "Don't worry. You have nothing to feel guilty about." d. "I can see you are worried."
A patient has been taking methadone [Dolophine] for 5 months to overcome an opioid addiction. The nurse should monitor the patient for which of the following electrocardiographic changes?
a. Prolonged QT interval b. Prolonged P-R interval c. AV block d. An elevated QRS complex