When caring for a 32-year-old Hispanic male who has become disabled, on what should the rehabilitation team base the priority of treatment goals?
a. Difficulty of the language barrier
b. Cultural significance of the disability
c. Depth of the patient's support system
d. Attitude toward rehabilitation
ANS: B
Culture defines the significance of disease and disability. Although all of the options must be addressed, the significance of the disability has highest priority.
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A group of novice nursing students are learning how to manually measure a client's blood pressure using a stethoscope and sphygmomanometer. Which of the following statements by students would the instructor most likely need to correct?
A) "I'll inflate the cuff around 30 mm Hg above the point at which I can't palpate the client's pulse." B) "If my client's arm is too big for the cuff, I'm going to get a BP reading that's artificially low." C) "The accuracy of the whole process depends on my ability to clearly hear the Korotkoff sounds with the bell of my stethoscope." D) "With practice, my measurement of clients' blood pressures with this method will be more accurate than with automated machines."
A pancreatitis patient is admitted with weight loss, nausea, and vomiting. To maintain nutrition, the physician orders parental nutrition to be started
Knowing that a major side effect of parenteral nutrition is a hyperosmolar hyperglycemic state, the nurse should assess the patient for which clinical manifestation (listed below)? A) Dry lips, excess urine output, and seizures B) Facial tics, shuffling gait, and stiff joints C) Fever, chills, and elevated BP of 170/101 D) Irritability, bradycardia, and wheezing noted on inspiration
The client has been ordered treatment with Floxin. She complains to the nurse of insomnia. What does the nurse recognize about this symptom?
a. It is completely unrelated to the new medication. b. It is indicative of an adverse reaction to the medication. c. It shows that the client is achieving a toxic level. d. It is an expected side effect of the medication.
In order to prevent poisoning, parents of preschoolers should be instructed to:
a. Label poisons when put in household containers b. Continue to keep medications out of reach c. Tell children which items are poisonous d. Rely on childproof lids to prevent access to medication