A nurse is caring for a young client addicted to drugs. The family is in the adjustment phase of coping with stress. Which is identified with the adjustment phase?
A) Family and community provide assistance
B) Family may accept demands created by the stressor
C) Patterns of behavior within the family are altered
D) Family realizes the need for change in the family structure
B
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You are caring for a 71-year-old patient who is 4 days postoperative for bilateral inguinal hernias. The patient has a history of congestive heart failure and peptic ulcer disease
The patient is highly reluctant to ambulate and will not drink fluids except for hot tea with her meals. The nurse's aide reports to you that this patient's vital signs are slightly elevated and that she has a nonproductive cough. When you assess the patient, you auscultate crackles at the base of the lungs. What would you suspect is wrong with your patient? A) Pulmonary embolism B) Hypervolemia C) Hypostatic pulmonary congestion D) Malignant hyperthermia
A mother is concerned about her infant's spitting up. Which suggestion would be most appropriate?
A) "Put the infant in an infant seat after eating." B) "Limit burping to once during a feeding." C) "Feed the same amount but space out the feedings." D) "Keep the baby sitting up for about 30 minutes afterwards."
A client with a history of renal insufficiency is scheduled for a cardiac catheterization. What does the nurse expect to do for this client before the catheterization? (Select all that apply.)
a. Insert a Foley catheter. b. Administer IV fluids. c. Assess for allergies to iodine. d. Assess laboratory results. e. Assess and mark pulses. f. Insert a central venous catheter. g. Have the client sign the consent.
The nurse documents the client's gait as short, accelerating steps with the client shuffling in a forward-leaning posture and having difficulty starting and stopping. The nurse would identify this type of gait as
a. ataxic. b. dystrophic. c. festinating. d. parkinsonian.