The spouse of a terminally ill woman states, "I cannot do this anymore. It is so hard to go to work every day and leave her
I know she is dying and we have such limited time, but my company will not give me any more time off." The most appropriate nursing diagnosis is
A) Caregiver role strain related to difficulty with specific caregiving activities as evidenced by situational factors with other responsibilities
B) Ineffective family coping related to terminal illness and impending death
C) Ineffective family coping related to cancer as evidenced by statements of anxiety
D) Altered family processes related to age of caregiver and employment responsibilities
Ans: A
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A nurse reviews the medication list of a client recovering from a computed tomography (CT) scan with IV contrast to rule out small bowel obstruction. Which medication should alert the nurse to contact the provider and withhold the prescribed dose?
a. Pioglitazone (Actos) b. Glimepiride (Amaryl) c. Glipizide (Glucotrol) d. Metformin (Glucophage)
A patient recovering in the CCU following coronary artery bypass graft (CABG) surgery complains of pain in his chest. The patient underwent a sternotomy incision during the surgery
Which of the following types of pain would indicate angina—which may indicate graft failure—as opposed to typical pain resulting from the sternotomy? A) Radiates to arms B) Is worse with deep breathing C) Is worse with movement D) Is sharp
A depressed client states, "I have a chemical imbalance in my brain. I have no control over my behavior. Medications are my only hope to feel normal again." Which nursing response is appropriate?
1. "Medications only address biological factors. Environmental and interpersonal factors must also be considered."2. "Because biological factors are the sole cause of depression, medications will improve your mood."3. "Environmental factors have been shown to exert the most influence in the development of depression."4. "Researchers have been unable to demonstrate a link between nature (biology and genetics) and nurture (environment)."
A nursing student asks a nurse to explain the differences between amphotericin B [Abelcet] and the azoles group of antifungal agents. Which statement by the nurse is correct?
a. "Amphotericin B can be given orally or intravenously." b. "Amphotericin B increases the levels of many other drugs." c. "Azoles have lower toxicity than ampho-tericin B." d. "Only the azoles are broad-spectrum anti-fungal agents."