The client is a 64-year-old man with late-stage colon cancer being cared for at home by his 63-year-old wife. Which nursing diagnosis has the highest priority for teaching the wife how to manage symptoms?

A. Imbalanced Nutrition, Less than Body Requirements related to fatigue and in-creased metabolism
B. Constipation related to decreased activity and medication regimen
C. Activity Intolerance related to dyspnea and fatigue
D. Acute Pain related to metastasis


D
Although all the above nursing diagnoses are important issues, effective pain management is the most important issue for this client and family. The home care nurse must serve as a client advo-cate and ensure that all appropriate measures for management of intractable, severe pain are im-plemented.

Nursing

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The client reports confusion about the name of his medications. The nurse explains that the generic name of a medication:

1. Is the name under which it is listed in one of the official publications 2. The name which describes the drug constituents precisely 3. Is the name given before a drug becomes official 4. Is the name used by the drug manufacturer

Nursing

The SBAR system of communications is one of the most used communication systems in health care because:

a. It deals with all aspects of communications in patient care except communication with the physician. b. The nurse is on the same communication level as administration. c. It honors a familiar, structured transfer of information among health professionals. d. It honors an unstructured transfer of information.

Nursing

The client is an older adult who is being treated with a glucocorticoid medication. The highest priority nursing intervention with this client is to monitor for evidence of:

a. cardiac dysrhythmias. b. visual disturbances. c. cognitive deterioration. d. increased osteoporosis.

Nursing

What concept is servant leadership based upon?

A) Trusting and valuing employees B) Genuinely liking your colleagues C) A laissez-faire style of leadership D) A dynamic leadership charisma

Nursing