A severely depressed client shows vegetative signs of depression. Interventions to be implemented
include (more than one answer may be correct)
A. monitoring food and fluid intake.
B. offering laxatives as needed.
C. providing a quiet sleep environment.
D. doubling the daily caffeine intake.
E. restricting intake of processed foods.
A, B, C
Rationale: Options A, B, and C promote a normal elimination pattern. Option D: Increasing the
intake of stimulants such as caffeine may make the client feel jittery and anxious when the client is
already feeling unwell. Option E: No indication exists that processed foods should be restricted.
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A nurse delegates care for an older adult client to the unlicensed assistive personnel (UAP). Which statements should the nurse include when delegating this client's care? (Select all that apply.)
a. "Plan to bathe the client in the evening when the client is most alert." b. "Encourage the client to use a cane when ambulating." c. "Assess the client for symptoms related to pain and discomfort." d. "Remind the client to look at foot placement when walking." e. "Schedule additional time for teaching about prescribed therapies."
A client had a bunionectomy with osteotomy. The client asks why healing may take up to 3 months. What explanation by the nurse is best?
a. "Your feet have less blood flow, so healing is slower." b. "The bones in your feet are hard to operate on." c. "The surrounding bones and tissue are damaged." d. "Your feet bear weight so they never really heal."
The nurse is aware of which statement to be true regarding the incidence of testicular cancer?
a. Testicular cancer is the most common cancer in men aged 30 to 50 years. b. The early symptoms of testicular cancer are pain and induration. c. Men with a history of cryptorchidism are at the greatest risk for the development of testicular cancer. d. The cure rate for testicular cancer is low.
A nurse who works in a clinic is aware of the importance of thorough and thoughtful urologic assessments, despite the fact that these assessments have the potential to make patients uncomfortable
When interviewing patients about their urologic health, the nurse should: A) Use lighthearted or slang terminology to help put the patient at ease. B) Emphasize the dangers of neglecting urologic health. C) Maintain a composed but empathic demeanor. D) Forego a urologic assessment if the patient is visibly uncomfortable.