A nurse is caring for a client with systemic sclerosis. The client's facial skin is very taut, limiting the client's ability to open the mouth. After consulting with a registered dietitian for appropriate nutrition, what other consultation should the nurs
a. Dentist
b. Massage therapist
c. Occupational therapy
d. Physical therapy
ANS: A
With limited ability to open the mouth, dental hygiene may be lacking. The nurse should encourage the client to see a dentist. The other referrals are not related to the mouth.
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A client diagnosed with agoraphobia associated with panic disorder has been scared to leave her home for 3 months, unable to go to the grocery store. In reviewing the care plan, the nurse would expect to find which goal for this client?
A) Control her symptoms. B) Function effectively within the environment. C) Participate in psychotherapy. D) Perform self-care activities.
The nurse working in a diverse community would most expect the eldest son from which community to care for aging parents?
a. African Americans b. East Asian c. Native American d. Hispanic
A patient taking a thiazide diuretic has the following blood laboratory values for kidney function. Which value will you report to the prescriber immediately?
a. Sodium 136 mEq/L b. Potassium 2.6 mEq/L c. Creatinine 0.9 mg/dL d. Blood urea nitrogen 6 mg/dL
Which action is best for the nurse to take to ensure culturally competent care for an alert, terminally ill Filipino patient?
a. Ask the patient and family about their preferences for care during this time. b. Let the family decide whether to tell the patient about the terminal diagnosis. c. Obtain information from Filipino staff members about possible cultural needs. d. Remind family members that dying patients prefer to have someone at the bedside.