The visiting nurse cares for an older client with rheumatoid arthritis. During a nurse's visit to supervise the home health aide, the client reports a flare-up in symptoms and the pain medication is not helping
To plan continuing care for the client, it would be important to focus on: 1. Emotional issues and depression.
2. Environmental conditions, temperature, and humidity.
3. Medication tolerance and addiction.
4. Dietary changes.
1
Rationale: There is a strong connection between emotional life and rheumatoid arthritis. Stressors and depression are associated with flare-ups. This creates a cyclic experience in which depression, flare-ups, and loss of mobility compound and exacerbate. Dietary changes, environmental conditions, and medication issues are not the primary focus.
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The patient had a carotid ultrasound that showed a 40% obstruction following a transient ischemic attack (TIA). The nurse anticipates that the treatment will consist of: (Select all that apply.)
a. diet modification. b. lifestyle alteration. c. aspirin for antiplatelet aggregation. d. daily doses of nitrates. e. endarterectomy.
The priority nursing intervention for a client experiencing a laryngospasm would be
a. administering 100% oxygen. b. calling the resuscitation team. c. positioning the client in high-Fowler position. d. starting in IV with a large-bore catheter.
A third heart sound is created by:
a. atrial contraction. b. ventricular contraction. c. diastolic filling. d. regurgitation between the right and left ventricles.
The nurse is caring for an unconscious client. The client's family member reports that a nurse at the client's bedside stated, "I wouldn't want to live in this condition." What did this nurse not realize about the client's capabilities?
a. The client can read lips b. Hearing can remain acute in clients who are not fully alert c. The client can respond to statements through written communication d. The client can be sensitive to the nurse's nonverbal behavior