An elderly client's children had always assumed they would be able to care for her until she died

However, the client had diabetes develop, had a below-the-knee amputation that is healing poorly,
and recently had a cerebrovascular accident that left her paralyzed on the right side. The family has
been told the client can be cared for at home if sufficient help can be obtained, or she can be placed
in a nursing home. The siblings cannot make up their minds. The nurse could be helpful by
a. making the decision for the family.
b. encouraging the client to make the decision.
c. reporting the situation to the elder abuse hotline.
d. helping the family clarify the advantages and disadvantages of each option.


D
Decision making requires accurate information and understanding of choices. The other options are
inappropriate.

Nursing

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A hospital nursing manager wishes to improve the cultural competence of the nurses working on the manager's unit. Which action by the manager would best accomplish this goal for this particular unit?

a. Collect information about the cultures seen most often. b. Ensure that written material is available in other languages. c. Provide incentives to complete training programs. d. Write policies and procedures for using interpreters.

Nursing

The nurse administers ambrisentan (Letairis) to the patient diagnosed with pulmonary arterial hypertension. What single indicator would the nurse use to evaluate the effectiveness of this medication?

A) Oxygen saturation B) Resting respiratory rate C) Exercise tolerance D) Breath sounds

Nursing

A client being treated for a myocardial infarction has been transferred to a step-down unit from the

intensive care unit. She uses the call bell as often as every 15 minutes. She makes a seemingly small request or complains each time a staff member is summoned. Several staff tell the primary nurse that the client is "obnoxious" and that they feel inadequate because they can never seem to satisfy her needs. The primary nurse can be most helpful by a. explaining that the client's anxiety is being demonstrated by demanding behaviors. b. "laying down the law" to the client and saying she may use the call light once hourly. c. rotating caregivers each day to give staff a much-needed respite from her complaints. d. offering to co-assign an agency temporary nurse to the client to share the burden.

Nursing

A patient who is prescribed sotalol (Betapace) develops the following assessment findings. For which finding does the nurse immediately notify the prescriber?

a. Heart rate of 60 beats per minute b. Difficulty sleeping c. Cold hands and feet d. Chest discomfort

Nursing