A client has severe osteoarthritis in the hips. An important psychosocial assessment the nurse should make on this client is
a. ability to obtain medications.
b. hobbies and leisure time interests.
c. job-related physical restrictions.
d. sexual role functioning.
D
Arthritis can interfere with many aspects of role development, including sexual functioning. A nurse assessing a client in a holistic manner will include questions about sexuality in the assessment. The nurse can inform the client of possible position changes and other adaptations that can lead the client to continue a healthy sexual relationship.
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A 6-year-old boy has been brought to the emergency department by ambulance after his mother discovered that his heart rate was "so fast I couldn't even count it."
The child was determined to be in atrial flutter, and his mother is seeking an explanation from the health care team. Which of the following points should underlie an explanation to the mother? A) The child is experiencing a reentry rhythm in his right atrium. B) The resolution of the problem is dependent on spontaneous recovery and is resistant to pacing interventions. C) The child is likely to have a normal ECG apart from the rapid heart rate. D) The boy's atria are experiencing abnormal sympathetic stimulation.
A nurse is preparing a program for a parent group about various techniques that can be used to manage behavior. Which of the following would the nurse be least likely to include?
A) Focus the child's attention on the negative behavior. B) Set limits with the child for responsible behavior. C) Ignore inappropriate behaviors. D) Provide positive feedback for self-control efforts.
A 52-year-old client asks the nurse how she is to remember when to schedule her clinical breast examination. Which response by the nurse is most correct?
A) "The office staff can schedule your clinical breast examination twice a year." B) "The diagnostic center will send you a reminder card to complete the annual examination." C) "The clinical breast evaluation will be completed with annual gynecologic examination." D) "You can complete the examination at home and report if you found anything abnormal."
The nurse is reviewing a patient's assessment data upon admission to the acute care facility. Which finding best indicates iron deficiency anemia?
a. Pulse of 90 beats/min b. Yellow sclera c. Tea-colored urine d. Pale conjunctivae