Your client is a 55-year-old married woman who works part time. She lives with her disabled husband, for whom she provides personal care. She baby-sits for her grandchildren on weekends. Which statement is most accurate?
1. She represents the typical family caregiver, except most caregivers are younger.
2. She represents the typical family caregiver.
3. She represents the typical family caregiver, except most caregivers do not have additional responsibilities.
4. She represents the typical family caregiver, except most caregivers live alone.
ANS: 2
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The nurse is attempting to assess the femoral pulse in a patient who is obese. Which of these actions would be most appropriate?
a. The patient is asked to assume a prone position. b. The patient is asked to bend his or her knees to the side in a froglike position. c. The nurse firmly presses against the bone with the patient in a semi-Fowler position. d. The nurse listens with a stethoscope for pulsations; palpating the pulse in an obese person is extremely difficult.
A client with alteration in heart muscle function is experiencing very cold feet with decreased feeling in the feet. What should the nurse explain to the client about the mechanism of this problem?
1. The client's cardiac output is low due to damage to the heart. 2. The client has a poor nutritional profile. 3. The client is experiencing fluid volume excess. 4. The client is experiencing damage to the pancreas.
The nurse is concerned that a client will develop neurogenic shock when which of the following is assessed?
1. Fractured left lower extremity 2. Spinal cord injury at T1 3. Jugular vein distention 4. Sluggish bowel sounds
A nursing student asks her instructor, "What was the purpose of deinstitutionalizing the mental health clients in the 1960s." The MOST accurate response by the instructor would be which of the following?
a. "It was believed that those who were mentally ill would be better cared for in their home communities surrounded by those who were not mentally ill." b. "The major focus was the need to reduce cost since hospital care was very expensive." c. "In general the hospitals were always very full and there were not enough nurses to care for the clients." d. "There was a need to convert the large state mental health facilities into acute care hospitals because the population was aging."