The nurse is reporting on the results of client blood work to the oncoming nurse. Upon reviewing the data, it is noted that the client has an elevated uric acid level. Which inflammatory process would the nurse screen for on shift rounds?
A) Rheumatoid arthritis
B) Lupus erythematosus
C) Osteoporosis
D) Gout
D
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Gout is a medical condition with symptoms of acute inflammatory arthritis that is caused by high levels of uric acid in the blood. The client has uric acid crystal deposits in the joint. The nurse would assess joint areas for pain, redness, and swelling. Rheumatoid arthritis is a chronic disease of joint inflammation and pain. Lupus erythematous is a chronic tissue disorder of the connective tissue and is known to have an elevated antinuclear antibody level. Osteoporosis has a deficiency in the serum calcium level.
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You are evaluating the plan of care for an older adult who is alcohol-dependent. Which patient documentation indicates the need for follow-up nursing interventions by the nurse?
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Elements that are found in food and necessary for good health but that our bodies cannot make are:
a. important nutrients. b. life-saving nutrients. c. essential nutrients. d. necessary nutrients.
A client, aged 82 years, has Alzheimer's disease. She lives with her daughter's family and goes to a
day care facility on weekdays. The nurse at the day care center noticed the client was unkempt and had multiple bruises. When the daughter arrived to pick her up, the nurse discussed her observations. The daughter became defensive and said that her mother was very difficult to manage. She stated "My mother is not my mother anymore. She is confused and she wanders all night. When I have to be out in the evening on business, one of my teenagers has to watch her. Then I have to watch her all night. Last night I fell asleep and she fell down the stairs. Sometimes I just cannot bear to care for her.". The nursing diagnosis that can be established for the client is a. risk for injury related to poor judgment associated with cognitive impairment and lack of family caregiver supervision. b. noncompliance related to confusion and disorientation, as evidenced by lack of cooperation. c. anxiety related to confused state, as evidenced by the client wandering at night. d. impaired verbal communication related to brain impairment, as evidenced by the client's confusion.