The nurse on a medical unit notes a moderate amount of fluid accumulation in the feet and ankles of a 75-year-old patient. The nurse will further assess this patient for indications of which conditions? Select all that apply
a. Kidney disease
b. Heart failure
c. Thyroid disease
d. Common age-related changes
A, B
Edema, or an excessive amount of fluid in the tissues, is an abnormal finding. It is common in patients with congestive heart failure, kidney disease, peripheral vascular disease, or low albumin levels. It is not related to thyroid disease and it is not a normal or common finding in older adults.
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The nurse who advocates for a health-oriented approach to clients is likely to encourage the development of which outcome?
a. The client will maintain compliance in medication administration. b. The client will adjust to the limitations of chronic illness. c. The client will keep in mind his limitations as a barrier to achievement of goals. d. The client will focus on continued progress and improvements in planning goals.
Which of the following are "Grade: A recommendation" from the U. S. Preventive Services Task Force? Select all that apply
a. Screen persons at increased risk for syphilis infection. b. Screen for cervical cancer in women who have been sexually active and have a cervix. c. Screen all sexually active women, including those who are pregnant, for gonorrhea infection if they are at increased risk for infection. d. Provide high-intensity behavioral counseling to prevent sexually transmitted infections (STIs) for all sexually active adolescents and for adults at increased risk for STIs. e. Screen for chlamydial infection for all sexually active, non-pregnant young women, aged 24 and younger, and for older non-pregnant women who are at increased risk. f. Refer women whose family history is associated with an increased risk for deleterious mutations in BRCA1 or BRCA2 genes for genetic counseling and evaluation for BRCA testing.
A patient lives in a long-term care facility and has mild dementi
a. The patient has been showing interest in another resident. What action by the nurse is best? a. Determining if the resident has deci-sion-making capacity. b. Refusing to allow the residents to be alone together. c. Asking the resident's family if the rela-tionship is okay. d. Providing time for the residents to be to-gether.
A nurse researcher developed a nurse-driven intervention for patients with congestive heart failure and tested its effectiveness using an experimental design. This is an example of a:
A) Zelen intervention B) Attention-control intervention C) Patient-centered intervention D) Partially randomized patient preference intervention