A client tells the nurse that he does not want to develop macular degeneration like his mother. Which of the following should the nurse instruct the client as being risk factors for the development of this disorder? (Select all that apply.)
1. There is greater risk as people age.
2. Women are at greater risk than men.
3. African Americans are at greater risk than Caucasians.
4. Family history of macular degeneration increases risk.
5. Smoking does not increase risk.
6. Alcohol prevents the onset of this disorder.
1, 2, 4
Recent statistics show that macular degeneration is age related and that women are at greater risk than men. Family history and smoking are also significant risk factors. Caucasians are at greater risk than African Americans. Alcohol does not prevent the onset of this disorder.
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A patient tells his family, "I don't know why I was placed on this earth just to suffer from cancer all my life. I just want to die." The nurse realizes the patient
a. has lost control of the situation. b. is expressing spiritual despair. c. is becoming anxious with the situation. d. will become withdrawn from his or her care.
While being tested for orthostatic hypotension, the patient stands up and begins to feel light-headed and feels faint. The nurse should do which of the following? (Select all that apply.)
a. Have the patient lie down. b. Report findings to the health care provid-er. c. Have the nursing assistive personnel (NAP) check orthostatic blood pressure. d. Instruct the patient not to get out of bed without assistance. e. Take the BP in each arm and use the arm with the lowest systolic reading.
The nurse educator is reviewing with a group of nursing students the rationale for performing a nursing assessment. What would be the best responses by the nursing students for the rationale for performing a nursing assessment?
1 . Identify a client's health status 2 . Identify risk factors 3 . Identify actual problems 4 . Identify assessment questions on a structured format A) 1, 2, 3 B) 1, 2, 4 C) 1, 3, 4 D) 2, 3, 4
The nurse notes that the client's Bartholin's gland is reddened, inflamed, and tender and warm to palpation. Based on the findings, which additional infection should the nurse anticipate testing the client for?
A. Gonorrhea. B. Herpes simplex virus. C. Candidiasis. D. Urinary tract infection.