An adult daughter drives, completes laundry, grocery shopping, and banking for two elderly parents. Which of the following should the nurse assess for in the adult daughter?
1. Malnutrition
2. Dehydration
3. Sensory deprivation
4. Caregiver role strain
4
The daughter is providing care to her elderly parents that includes transportation, laundry, grocery shopping, and banking. The nurse should assess the caregiver for signs of role strain. The daughter is most likely not at risk for developing malnutrition, dehydration, or sensory deprivation.
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Despite popular belief, there is a rare type of hemophilia that affects women of child-bearing age. Von Willebrand disease is the most common of the hereditary bleeding dis-orders and can affect males and females alike
It results from a factor VIII deficiency and platelet dysfunction. Although factor VIII levels increase naturally during pregnancy, there is an increased risk for postpartum hemorrhage from birth until 4 weeks after delivery as levels of von Willebrand factor (vWf) and factor VIII decrease. The treatment that should be considered first for the patient with von Willebrand disease who experiences a postpartum hemorrhage is: a. Cryoprecipitate. b. Factor VIII and vWf. c. Desmopressin. d. Hemabate.
A patient in hypovolemic shock is demonstrating compensation by a slight increase in blood pressure. The nurse realizes that this is because of
1. reduced secretion of aldosterone. 2. reduced secretion of anti-diuretic hormone. 3. kidney conservation of water through the renin-angiotensin system. 4. potassium retention.
The nurse is working with a family going through a divorce. The mother tells the nurse how good her young son has been in washing windows and doing household chores. The nurse realizes that this child is most likely:
a. in denial c. depressed b. bargaining d. angry
The nurse is answering questions for the parents of a newborn who has spina bifida. The parents ask then surgery can be done. Which of the following responses by the nurse is most accurate?
a. "Surgery is usually performed within the first few hours or days of life." b. "It is possible that the spina bifida can be reduced and closed without surgery." c. "Often the surgeons like to wait until the child is at least 2 years old to do surgery." d. "Surgery needs to be done before the child stands and begins to walk."