The nurse is interviewing a client prior to a physical examination. The client tells the nurse that she has been experiencing a lot of aches, pains, and abdominal discomfort
The nurse may suspect which of the following factors that impact physical health? 1. Income
2. Stress
3. Ethnicity
4. Occupation
2
Rationale 1: Income may influence physical and emotional health in some way, but stress is most likely having the greatest impact with the symptoms being reported.
Rationale 2: Stress is most likely having the greatest impact with the symptoms being reported. Emotional stress affects the immune system and typically causes individuals to be less attentive to their personal health. Individuals under stress may also use mood-altering substances to "feel better."
Rationale 3: Ethnicity may influence physical and emotional health in some way, but stress is most likely having the greatest impact with the symptoms being reported.
Rationale 4: Occupation may influence physical and emotional health in some way, but stress is most likely having the greatest impact with the symptoms being reported.
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Urine osmolality is increased in which of the following conditions?
A) SIADH B) Addison's disease C) Renal disease D) All of the above are correct.
A patient has an upper motor neuron lesion. The nurse would be correct in assessing for which of the following during assessment of the patient's lower extremities?
A) Muscle spasticity B) Hyporeflexia C) Decreased muscle tone D) Muscle atrophy
The nurse is performing a detailed mental status assessment of an older adult patient who has a diagnosis of mild Alzheimer's disease. What assessment most accurately gauges the patient's abstract reasoning?
A) "What city and state are we in right now?" B) "What would you do if you found a stamped envelope on the street?" C) "If you divide 16 by four and then double it, what do you get?" D) "How do you believe that Alzheimer's disease is affecting you?"
The nurse is developing unit assessment protocols for the risk of pressure ulcer development. What factors would the nurse include in this document? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. Presence of moisture 2. Potential for friction and shear 3. Adequacy of nutrition 4. Mobility status 5. Presence of confusion