An elderly woman has total care of her husband, who suffers from debilitative rheumatoid arthritis. The couple voices concern over the pain and stress associated with the condition. What type of care might the nurse suggest to help the couple?
A) Primary care
B) Respite care
C) Bereavement care
D) Palliative care
Ans: D
The goal of palliative care is relief from the symptoms, pain, and stress of a serious illness, and to improve the quality of life for both the client and the family. The main purpose of respite care is to give the primary caregiver some time away from the responsibilities of day-to-day care. Primary care is found in acute care settings and physicians' offices. Bereavement care is provided to families following the death of a family member.
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The older adult patient is quite ill and confused and begins to cry pitifully when the nurse approaches the bed to start an IV. The best action for the nurse at this point would be to:
1. keep the infusion equipment out of sight as much as possible, talk slowly, and divert the patient. 2. inform the patient that the doctor has ordered the IV and calmly continue to pre-pare the site and start the IV. 3. give an analgesic as ordered, wait a few minutes, and then proceed. 4. restrain the patient's arm to a padded arm board and proceed as directed.
A client with type 1 diabetes asks whether an occasional glass of wine is allowed in the diet. Which is the nurse's best response?
a. "Drinking any wine or alcohol will in-crease your insulin requirements." b. "Because of poor kidney function, people diagnosed with diabetes should avoid al-cohol at all times." c. "You shouldn't drink alcohol because it will make you hungry and overeat." d. "One glass of wine is okay with a meal and is counted as two fat exchanges."
The nurse compares the characteristics of a health maintenance organization (HMO) and a preferred provider organization (PPO). Which information should the nurse include about HMOs?
a. HMOs require a set fee of each member monthly. b. HMOs allow the member to select his health care provider. c. HMOs permit admission to any facility the member prefers. d. HMOs offer unlimited diagnostic tests and treatments.
A patient is diagnosed with cardiogenic shock. The patient is noted with crackles through the lung fields. What medication will be administered along with beta-adrenergic agents?
A) Antimicrobials B) Antifungals C) Diuretics D) Antihypertensives