The nurse is conducting an assessment of a 65-year-old client who has come for an annual assessment. For which reasons should the nurse anticipate providing immunizations to the client? (Select all that apply.)
1. Promoting client health
2. Caring for the client's illness
3. Maintaining the client's health
4. Alleviating the client's suffering
5. Caring for the client's family
Answer: 1; 3
1. Providing immunizations is an example of promoting health.
2. The client receiving immunizations is not generally ill.
3. Immunizations help to maintain the client's health status.
4. The client having an annual assessment is usually not suffering.
5. Immunizing a client is not an example of care of the family.
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A client's serum sodium level is 150 mg/dL. Based on this data, which interventions should the nurse plan for this client?
Select all that apply. A) Monitor heart rate and rhythm. B) Elevate the head of the bed. C) Instruct on a low-sodium diet. D) Administer diuretics as prescribed. E) Administer potassium supplement as prescribed.
Critical illness often results in family conflicts. Which scenario is most likely to result in the greatest conflict?
a. A 21-year-old college student of divorced parents hospitalized with multiple trauma. She resides with her mother. The parents are amicable with each other and have similar values. The father blames the daughter's boyfriend for causing the accident. b. A 36-year-old male admitted for a ruptured cerebral aneurysm. He has been living with his 34-year-old girlfriend for 8 years, and they have a 4-year-old daughter. He does not have written advance directives. His parents arrive from out-of-state and are asked to make decisions about his health care. He has not seen them in over a year. c. A 58-year-old male admitted for coronary artery bypass surgery. He has been living with his same-sex partner for 20 years in a committed relationship. He has designated his sister, a registered nurse, as his healthcare proxy in a written advance directive. d. A 78-year-old female admitted with gastrointestinal bleeding. Her hemoglobin is decreasing to a critical level. She is a Jehovah's Witness and refuses the treatment of a blood transfusion. She is capable of making her own decisions and has a clearly written advance directive declining any transfusions. Her son is upset with her and tells her she is "committing suicide."
Why is co-dependent behavior often demonstrated in nurses?
A) Co-dependency is not a characteristic of many nurses. B) Nurses lack autonomy. C) Nurses wish to help others; helping is often confused with "doing for.". D) Co-dependency is rewarded by most health care employers.
A client diagnosed with appendicitis asks the nurse why this illness occurred. The nurse should respond that the most common cause of appendicitis is:
1. ulcerative colitis. 2. obstruction of the appendix. 3. low-fat diet. 4. infection.