The nurse preparing a teaching plan for lifestyle changes for the patient with GERD would include:
a. sleeping on the right side on a flat bed.
b. wearing tight belts to reduce reflux.
c. lying down after each meal for 20 mi-nutes.
d. smoking cessation.
D
Smoking stimulates gastric secretion. The patient with GERD should wait at least 2 hours after a meal to lie down and should sleep with the head of the bed elevated 4 to 6 inches. The patient should avoid restrictive clothing.
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People are living longer and with older age comes a higher risk of terminal illness
Many individuals have chosen to maximize their quality of life but stop aggressive life-sustaining treatments. Nurses who work with terminally ill patients and their families to provide end-of-life care, pain management, and family support are practicing in which role? a. Hospice b. Infection control c. Coordinator d. Case manager
The children of a female client 78 years of age with a recent diagnosis of early-stage Alzheimer's disease are attempting to convince their mother to move into an assisted living facility, a move to which the client is vehemently opposed
Both the client and her children have expressed to the nurse how they are entrenched in their position. Which of the following statements expresses a utilitarian approach to this dilemma? A) The decision should be made in light of consequences. B) The client's autonomy and independence are the priority considerations. C) Benefits and burdens should be evenly distributed between the children and the client. D) The client has a right to self-determination.
The early cost-containment efforts focused on hospitals primarily because hospitals
A. Had very little political power to fight back. B. Were known to be very wasteful of resources. C. Were often just hotels for the rich who wanted a rest. D. Were the largest source of health care expenditures.
The nurse discusses medication interactions with a 28-year-old diabetic female who has been prescribed oral hypoglycemic. Other medications the patient uses regularly include oral contraceptives, ibuprofen as needed, a daily multivitamin, and aspirin. Which of the regular medications may interact with the oral hypoglycemic, causing a decrease in regular drug effectiveness?
A. aspirin B. multivitamin C. oral contraceptive D. ibuprofen