A patient with an autoimmune disorder tells the nurse, "My family keeps telling me I don't look sick." Which problem should the nurse use to guide this patient's care?
1. lack of family comprehension about the disease process
2. alteration in body functions
3. inability of the patient to cope with the health problem
4. inability of the patient to tolerate activity
Correct Answer: 1
This patient states that the family does not recognize a disease process based on the patient's physical appearance. This suggests that the family does not comprehend the disease process. There is no evidence that the patient is experiencing an alteration in body functions, is unable to cope with the health problem, or is unable to tolerate activity.
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What elements make up the nursing process? Select all that apply
1. Planning 2. Diagnosis 3. Evaluation 4. Assessment 5. Communication
A patient with tuberculosis tells the nurse that she does not want to continue taking the prescribed medication. Which action by the nurse is most appropriate?
1. Encourage the patient to complete the therapy to eliminate the disease from her body. 2. Document that the patient refuses to take the medication. 3. Ask the patient to return home and consider changing her lifestyle to eliminate contact with other people. 4. Have a tuberculosis skin test to check and see if the patient transmitted the disease to the nurse.
The nurse instructs the client to self-administer nasointestinal tube feedings at home. Which is the best instruction to include in client teaching about aspirating the tube?
1. Withhold tube feedings if unable to obtain aspirate. 2. Check tube placement by instilling air into the tube. 3. Administer the tube feedings at 45° F to 50° F. 4. Report aspirate with a pH less than 6 to provider.
The health care provider prescribes the following interventions for a patient with acute prostatitis caused by E. coli. Which intervention should the nurse question?
a. Instruct patient to avoid sexual intercourse until treatment is complete. b. Administer ibuprofen (Advil) 400 mg every 8 hours as needed for pain. c. Catheterize the patient as needed if symptoms of urinary retention develop. d. Give trimethoprim/sulfamethoxazole (Bactrim) DS 1 tablet daily for 28 days.