A client diagnosed with asthma has not responded well to medication. The client is concerned and asks the nurse, "What is wrong with me, and why am I not getting better?" What is the nurse's best response?

a. "You just weren't used to the medication yet."
b. "The medication dose has to be in-creased."
c. "It is possible that genetic testing may help."
d. "You should try homeopathic medicine."


C
Some genetic variations may cause the activity of beta-adrenergic receptors to change, meaning that the client would not respond as expected to beta agonists. Genetic testing may help to de-termine why the drug therapy is not working and may help the clinician to identify new therapy that will work.

Nursing

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A 38-year-old male client tells the nurse that he is afraid that he is sterile. Which client statement helps the nurse determine that the client is sterile and not infertile?

1. "I have had unprotected sex with my wife for eight months and she has not conceived." 2. "I was treated for a sexually transmitted disease a few years ago." 3. "I only have one orgasm while having intercourse." 4. "I have had unprotected sex for the past ten years with my wife who has a child from a previous marriage."

Nursing

An adult child of a parent with mild dementia is worried about the parent driving. Where does the nurse refer the adult child to find out about safe driving courses?

a. Senior Driving from AAA b. AARP Driver Safety c. Older Drivers Education d. State Department of Transportation

Nursing

When making a home visit, the home care nurse should follow all of the following guidelines EXCEPT

a. bring her purse into the patient's home b. request pets be secured before her arrival c. call the patient in advance to confirm the time of the appointment d. wear uniform and badge identifying herself as a member of the home health agency

Nursing

A nurse in the emergency department recognizes in the husband of a client one of which of the following common characteristics of batterers? Note: Credit will be given only if all correct and no incorrect choices are selected

Select all that apply. 1. Emotionally immature 2. Tend to express their overwhelming feelings of inadequacy through violence 3. Feelings of insecurity and inferiority 4. A lack of respect in the community 5. Limited jealousy or possessiveness

Nursing