When a client is hospitalized with dilated cardiomyopathy, the nurse would examine the client's record for the characteristic history of
a. long-term alcohol abuse.
b. previous streptococcal infection.
c. resistant hypertension.
d. uncontrolled diabetes.
A
Risk of cardiomyopathy increases in clients who chronically ingest excessive amounts of alcohol (toxins). Other common causes are viral myocarditis, infections, metabolic problems, pregnancy, neuromuscular disorder, connective tissue disorders, and genetic predisposition. Some forms are idiopathic.
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The client being discharged home after a bone marrow transplantation for leukemia asks why protection from injury is so important. What is the nurse's best response?
A. "The transplanted bone marrow cells are very fragile and trauma could result in rejection of the transplant." B. "Trauma is likely to result in loss of skin integrity, increasing the risk for infection when you are already immunosuppressed." C. "Platelet recovery is slower than white blood cell recovery and you remain at risk longer for bleeding than you do for infection." D. "The medication regimen after transplantation includes drugs that slow down cell division, making healing after any injury more difficult."
The connection between self-care and emotional intelligence involves all of the following EXCEPT
A. Awareness of needs B. Self-worth C. Ability to ask for support D. Patient advocacy
An appropriate nursing diagnosis for a 75-year-old man with congestive heart failure who is living independently but has inadequate nutritional intake would be Imbalanced nutrition, less than body requirement related to:
a. activity intolerance. b. difficulty in swallowing. c. restricted diet. d. nausea and vomiting.
In the assessment of a client with reflex incontinence, which of the following does the nurse expect to find?
a. The client has a constant dribbling of urine. b. The client has an uncontrollable loss of urine when coughing or sneezing. c. The client has no urge to void and an unawareness of bladder filling. d. The client has an immediate urge to void but not enough time to reach the bath-room.