A client with heart disease who had a myocardial infarction 2 months ago comes to the clinic for a follow-up visit
While assessing the client, the nurse would be alert most likely for the development of which of the following responses? Select all that apply.
A) Personality disorder
B) Depression
C) Substance abuse disorder
D) Anxiety disorder
E) Delirium
B, D
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A nurse is assisting a client when he is draining his new continent ileostomy. The catheter appears to be plugged with stool. Which of the following actions should the nurse take to rectify the problem?
A) Avoid milking the catheter. B) Wait for 8 hours to obtain drainage. C) Leave the catheter in place overnight. D) Rotate the catheter tip inside the stoma.
Which statement by a female patient with osteopenia indicates that more teaching about risk factors is needed?
A) "I need to take calcium and vitamin D." B) "Because exercise is good for me, I will try swimming." C) "I need to stop smoking." D) "I should stop drinking cola beverages."
The best time to observe and count respirations is while:
a. the patient is answering questions. b. weighing the patient. c. palpating the pulse. d. the patient is sleeping.
A patient calls the urologist's office to receive instructions about semen analysis. The nurse instructs the patient to:
1. Avoid sexual intercourse 24 hours prior to obtaining a specimen. 2. Use a latex condom to collect the specimen. 3. Expect that a repeat test might be required. 4. Expect a small sample.