The nurse is providing care to a client diagnosed with celiac disease who experiences frequent diarrhea. Based on this data, the nurse anticipates the client may also experience which associated problems?
Select all that apply.
A) Skin breakdown
B) Fluid and electrolyte imbalance
C) Hair loss
D) Lifestyle issues
E) Sexual dysfunction
Answer: A, B, D
Clients with diarrhea may have perianal skin irritation and skin breakdown. Diarrhea disturbs the fluid and electrolyte balance and can disrupt normal life activities. There is no known direct connection between diarrhea and hair loss or sexual dysfunction.
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An older male adult has myasthenia gravis and lives with his wife. Which patient charac-teristics should the nurse use to identify areas for nursing care in the disability assessment of this man?
a. Manages his finances successfully b. Lives in an adults-only community c. Walks around the house for exercise d. Health care provided through Medicare e. Has history of peptic ulcer disease f. Wife in good health, has poor eyesight
A nurse in an intensive care unit prepares to perform postmortem care on an older Jewish client. Family members are at his bedside. Which of the following actions by the nurse is appropriate?
A) Allow the family to remain with the client. B) Liaise with the hospital chaplain to visit the family in the chapel. C) Address the man's oldest son when discussing the client's cares. D) Determine which family member(s) will be staying at the bedside during the cares.
The primary screening test for TB is
a. Purified Protein Derivative (PPD) b. Chest x-ray c. Sputum smear d. Culture
The nurse is providing discharge instructions to a patient with brown, leathery, edematous ankles and increased pain when sitting. Which patient statement indicates that teaching has been effective?
a. "I should elevate my legs on pillows." b. "I should keep my legs lower than my heart." c. "Elastic bandages should be wrapped from the knee down." d. "I should increase my intake of red meat and dairy products."