You tell J.M. that the combination of high-sodium foods he had during the past several days might have contributed to his present episode of HF. He looks surprised. J.M. says, "But I didn't add any salt to them!"
To what health care professional could J.M. be referred to help him understand how to prevent future crises? State your rationale.
J.M. obviously does not understand that many foods contain high amounts of sodium. Some
patients might associate sodium with added salt only. J.M. needs help in understanding what foods
are "safe." A registered dietitian could provide medical nutrition therapy (MNT) and assist in lowsodium
modifications, how to read food labels, and how to use spices to make tasty meals. He needs
to limit daily sodium intake to 2 to 3 g, and limit daily fluid intake to 2 L.
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You are working in the outpatient clinic. A client comes in to see the physician. You are taking the health history and doing the physical assessment prior to the physician's exam
a. What are the pertinent questions to ask the client concerning his present condition? b. What do you want to know about his allergies other than the medication he is allergic to? c. What is pertinent to know about his past history? Elaborate.
A client diagnosed with Parkinson's disease (PD) 11 years ago is being cared for at home by his wife. The nurse asks whether the family has considered arranging for in-home assistive care based primarily on the knowledge that:
1. This type of assistance can help preserve the physical and emotional well-being of the client's wife. 2. It is becoming more difficult for his wife to adequately meet his physical needs. 3. This type of assistive care is warranted, since PD is both progressive and degenerative. 4. The client may live for many more years, requiring more intensive care as the disease progresses.
During an interview with an older adult, the client moves her chair back. Which of the following responses by the nurse is most appropriate?
A) Stop the interview and give her recovery time. B) Move own chair closer. C) Sit upright, leaning back. D) Ask the client if she is okay.
A new nurse graduate does not understand why she has not been hired 8 months after graduation, in spite of submitting applications at all the local facilities
After discussing the issue with the placement counselor, which situation may be preventing her from being hired as a nurse? A) Lack of LinkedIn account B) Talking about her job search on Facebook C) Questionable postings on Twitter D) Maintaining a blog about her nursing school experience