The home health nurse is developing a plan of care for her 76-year-old patient. What are the primary nursing goals the nurse will include in her plan? Select all that apply
a. Maintain the patient's independent functioning as much and for as long as possible
b. Teach the patient and caregivers how and when to call for professional help
c. Arrange for appropriate care that is needed in the home
d. Teach the patient and family strategies to reduce caregiver role strain
ANS: A, B, C
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A. The client has developed tolerance to the antipsychotic medication. B. The client has not taken the medication with food. C. The client has not taken the medication as prescribed. D. The client has combined alcohol with the medication.
The nurse is educating a client who contracted HIV regarding the nature of the human cells that are invaded by the virus. Which type of cell is the main cell affected by HIV?
A) B cells B) C cells C) Lymphocytes in bone marrow D) CD4 cells
What would the nurse assess in a client taking primaquine based on an understanding of the adverse effects?
1. The urine for evidence of hemoglobin 2. The eyes for evidence of icterus 3. The skin for photosensitivity 4. The stool for lack of bile
A nurse is caring for a disabled individual and her family. The nurse recognizes that a potential effect on the family may include
a. High out-of-pocket expenses to receive necessary services b. Alteration of self-concept and self-esteem c. Compliance with necessary legislation to maintain services d. Provision of health care services by the health department