A nurse plans discharge instructions of a 78-year-old black client with newly diagnosed dilated heart failure. The client states, "Will I be going home on hospice now that my heart is failing?"
Which of the following responses is most appropriate by the nurse?
A) "Heart failure is a chronic condition that can be controlled with medication."
B) "No, but you will have palliative care."
C) "You must go to cardiac rehabilitation."
D) "You will need to take medications for the rest of your life."
Ans: A
The client with heart failure will need medications and will benefit from cardiac rehabilitation; however, these answers avoid the issue of lack of understanding of the type of disease heart failure is. Palliative care is not appropriate at this time.
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The nurse instructed an older patient on the importance of maintaining adequate hydration. Which statement by the patient indicates that additional teaching is needed?
1. "I'll drink water and unsweetened beverages whenever I feel thirsty." 2. "I can add an extra cup of decaffeinated coffee with breakfast and dinner." 3. "I will set up a schedule to drink a glass of water every 2 hours throughout the day." 4. "If I drink a lot of fluids, I'll have to go to the bathroom more often, but I'll get more exercise."
The client who is being treated with radiation for cervical cancer asks if she should bother having a mammogram, especially because she is currently being exposed to radiation. What is the nurse's best response?
A. "Although you should delay the mammogram until your therapy is finished, per-form a breast self-exam monthly." B. "Being treated for one kind of cancer does not prevent the development of anoth-er type of cancer. Have the mammogram." C. "Absolutely do not have the mammogram this year, because you are already over the limit for safe exposure levels to radiation." D. "The radiation therapy you are receiving will protect you against other cancer development, so it is okay to skip the mammogram this year."
Which factor would be a major reason for joining a professional nursing association?
A) Having a collective voice to influence nursing's future B) Being able to list membership on a resume C) Getting discounts for attending professional conferences D) Receiving copies of association journals or publications
Which part of the ear is responsible for transmitting sound to the inner ear?
a. Auditory canal b. Middle ear c. External ear d. Labyrinth