A patient with severe diabetic retinopathy is nearly blind despite years of various treatments
Which patient statements would the nurse evaluate as indicating this patient is coping with the disability? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. "I went to a luncheon at church this week.".
2. "My husband put some Velcro on my washing machine so I could tell which setting to use.".
3. "I don't get out of doors very often, so it is fun to come to the doctor.".
4. "My daughters found a new low-carbohydrate recipe to try for my birthday cake this year.".
5. "I would so love to really be able to see my new grandson's face.".
1,2,4
Rationale 1: Resuming social interactions is a positive sign of coping.
Rationale 2: This statement reflects an innovative method of coping with everyday tasks.
Rationale 3: This statement may indicate social isolation. Going to the doctor is not typically described as fun.
Rationale 4: This statement suggests the patient is looking forward to the birthday and interaction with family. This is positive coping.
Rationale 5: This is an expression of loss. It does not indicate either positive or negative coping.
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The patient's physician would anticipate that which of the following phenomena is most likely occurring? A) The patient's juxtaglomerular cells are releasing aldosterone as a result of sympathetic stimulation. B) Epinephrine from his adrenal gland is initiating the renin-angiotensin-aldosterone system. C) Vasopressin is exerting an effect on his chemoreceptors and baroreceptors resulting in vasoconstriction. D) The conversion of angiotensin I to angiotensin II in his lungs causes increases in blood pressure and sodium reabsorption.
An immunosuppressed patient is receiving chemotherapy treatment at home. What infection-control measure should the nurse recommend to the family?
A) Family members should avoid receiving vaccinations until the patient has recovered from his or her illness. B) Wipe down hard surfaces with a dilute bleach solution once per day. C) Maintain cleanliness in the home, but recognize that the home does not need to be sterile. D) Avoid physical contact with the patient unless absolutely necessary.
A patient's medical record contains a drug order for tacrine (Cognex). Which condition would the health care provider expect to see in the patient's health history?
a. Urinary retention b. Dementia of the Alzheimer's type (DAT) c. Hepatic encephalopathy d. Peptic ulcer disease (PUD)
A nurse is caring for a client who has a history of chronic alcohol abuse. Which of the following medical problems should the nurse anticipate? (Select all that apply.)
a. Gastrointestinal disturbances b. Cardiac dysrhythmias c. Depression d. Organic brain syndrome e. Hepatitis B