The individual who has the potential for the greatest risks at discharge is the client who is:

A. Attempting to correct safety hazards at home
B. Having difficulty explaining self-care measures
C. Asking questions about the medication and side effects
D. Identifying problems that may be encountered with the therapy


B
B. Difficulty in explaining self-care measures can indicate a lack of understanding that increases the risk of an interruption in care after discharge.
A. Correction of safety hazards will increase the client's level of independence and ability to retain function after discharge.
C. Clarification of issues related to medication regimen indicates client learning.
D. Identifying potential problems associated with therapy indicates client understanding.

Nursing

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The nurse is taking care of a 78-year-old comatose patient. The nurse has placed the patient in a supine position. To prevent foot drop, the nurse applies which of the following?

a. Pillows to dorsiflex the foot b. Trochanter rolls to the feet c. Foot boots as ordered d. Pillows to elevate the feet

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The majority of abdominal aortic aneurysms are due to

A. Trauma B. Infection C. Inflammation D. Atherosclerosis

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A psychiatric nurse will recognize which action as demonstration of resistance behavior?

a. Regularly referring to himself as a "loser" b. Becoming tearful during every therapy session about abuse c. Asking to postpone a therapy session until after visiting hours d. Consistently describing his drug use as starting "a little while ago"

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A child who is diagnosed with leukemia has a sibling who is expressing feelings of anger and guilt. How would the nurse characterize this reaction by the sibling?

1. Abnormal; the sibling should be referred to a psychologist. 2. Normal; the illness doesn't affect the sibling. 3. Unexpected; the cancer is easily treated. 4. Normal; the sibling is affected too, and anger and guilt are expected feelings.

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