The nurse is caring for an older client with heart disease that is experiencing fatigue. Which will the nurse initially implement to enhance the overall quality of life and functional ability of the client?

1. Assess the need for assistive devices
2. Provide education on health screenings
3. Reinforce the importance of rehabilitation
4. Instruct the client on techniques for self-management


3. Reinforce the importance of rehabilitation

Explanation: 1. Assistive devices may be necessary to increase the independence of the client. The assessment for an assistive device occurs during the rehabilitation time.
2. Education regarding health screenings focuses on prevention of disease.
3. Rehabilitation after a chronic illness can enhance the quality of life and functional ability of the client. Managing chronic fatigue that occurs with heart disease can require rehabilitation.
4. Techniques of self-management can reduce pain and cost of chronic disease by teaching the client to manage their own chronic condition.

Nursing

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A patient is admitted to the hospital with a provisional diagnosis of heart failure. Which laboratory finding would the nurse evaluate as ruling out that diagnosis?

1. BNP 50 pg/mL 2. Normal ECG 3. Sodium 148 mEq/L 4. Hemoglobin 10 g/dl

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A patient with acute hepatic dysfunction is experiencing a gastrointestinal bleed. Which of the following should the nurse be prepared to administer to assist this patient?

1. mannitol 2. albumin 3. antibiotics 4. vitamin K and fresh frozen plasma or platelets

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The nurse is working with a client who has just been diagnosed with diabetes mellitus and informs the client to adhere to which principles that will be most helpful at preventing complications of this disease? Select all that apply.

A. Monitor your blood glucose levels at least once each week. B. Make sure to take your oral antidiabetic medications as ordered. C. Exercise at least an hour a day. D. Make sure that meals and snacks are eaten at regular times. E. See your healthcare provider (HCP) regularly even if you don't feel ill.

Nursing