A nurse taking the history of a client with rheumatoid arthritis might be alerted to the client's use of CAM when the client says
a. "A bunch of nuts believe that putting nice smells in the air cures arthritis."
b. "Doctors don't know everything, you know."
c. "I've heard something about alternative medicine. What is that?"
d. "What do you think about biofeedback?"
D
The most "nondisclosing" client remark is asking the nurse about a specific alternative modality and "testing the waters" relative to the nurse's response to that specific modality.
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A client plans to go to the acupuncturist for complementary treatment of alcoholism. He asks the
nurse to explain how acupuncture works. The most accurate response would be "Acupuncture is a traditional Chinese medical treatment. The Chinese believe a. the insertion of needles modulates the flow of energy along body meridians.". b. taking small doses of noxious substances will alleviate illness symptoms.". c. manipulation of the spinal column will correct energy flow problems.". d. herbal remedies, which are natural substances, are better than synthetics.".
During a routine physical examination, a 66-year-old client reports feeling very tired throughout the day. Which of the following is the nurse's best initial action?
1. Assess the client's sleep patterns. 2. Encourage the client to begin to take a nap each day. 3. Encourage the client to alter the evening routine to reduce potential evening stressors. 4. Ask the healthcare provider to prescribe a medication designed to help the client sleep better.
Explanation: A) Prothrombin time (PT), which measures the functional ability of the extrinsic clotting pathway, is normally between 9.5 and 13.5 seconds. B) Prothrombin time (PT), which measures the functional ability of the extrinsic clotting pathway, is normally between 9.5 and 13.5 seconds. C) Prothrombin time (PT), which measures the functional ability of the extrinsic clotting pathway, is
normally between 9.5 and 13.5 seconds. D) Prothrombin time (PT), which measures the functional ability of the extrinsic clotting pathway, is normally between 9.5 and 13.5 seconds. A) The nadir for the platelet count occurs 3-5 days after treatment. B) The nadir for the platelet count occurs 5-8 days after treatment. C) The nadir for the platelet count occurs 7-10 days after treatment. D) The nadir for the platelet count occurs 10-13 days after treatment.
Which recommendation does the nurse provide for the client with Ménière's disease who has periodic spells of vertigo?
a. "Avoid wearing high-heeled shoes." b. "Put brightly colored rugs on the floor for visibility." c. "Step on a sturdy chair to get items from high shelves." d. "Wait to drive a car until after you have taken your Benadryl."