The nurse is discussing the future with a patient recently diagnosed with amyotrophic lateral sclerosis (ALS). The patient asks about the possibility of continuing to work at the family's construction business. How should the nurse respond?
1. "Can you do work that is less strenuous?"
2. "Is there a way you can switch over to the office side of the business?"
3. "This is a progressively debilitating disease. You need to think of ways to conserve your energy, not expend it."
4. "Work as long at your job as you feel capable of keeping up with the demands it makes on you."
4
Rationale 1: While it is important to minimize stress and conserve energy, it is not necessary to alter one's life dramatically until the symptoms of the disease demand it.
Rationale 2: There is no evidence that working in the office will be less stressful than the physical work of the business.
Rationale 3: This is a progressively debilitating disease, but patients are encouraged to stay as active as possible for as long as possible.
Rationale 4: People with ALS do maintain careers and interests. They are encouraged to remain active for as long as possible.
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The client with myasthenia gravis develops a sudden increase in weakness, accompanied by an increase in heart rate from 76 to 100 beats/min and an increase in blood pressure from 122/72 to 152/82
What conclusion can the nurse make from these findings? A. The client is experiencing a mixed crisis. B. The client is experiencing myasthenic crisis. C. The client is experiencing cholinergic crisis. D. The client's condition is responding to treatment.
When a student nurse began working at a local hospital this past summer, she learned that the hospital had just instituted a "hand-off" protocol. Which of the following is the best example of a hand-off report?
A. Transfer report B. IV fluid flow sheet C. Documentation in the nurse's notes of the patient chart D. Laboratory report
The nurse is working with clients who have connective tissue diseases. Which disorders are correctly paired with their manifestations? (Select all that apply.)
a. Dry, scaly skin rash - Systemic lupus erythematosus (SLE) b. Esophageal dysmotility - Systemic sclerosis c. Excess uric acid excretion - Gout d. Footdrop and paresthesias - Osteoarthritis e. Vasculitis causing organ damage - Rheumatoid arthritis
The nurse plans care for older adults who are in good health but isolated from their fami-lies. If the nurse's goal is to move the adults toward gerotranscendence, which interven-tion should the nurse use in the plan of care?
a. Give a daily tea party for the group. b. Call each family to encourage visiting. c. Assist them to resume midlife patterns. d. Help each person with individual activities.