Dehydration in the dying client causes all of the following EXCEPT:
1. natural anesthesia.
2. suffering.
3. decreased oral secretions.
4. less nausea and vomiting.
ANS: 2
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A 2-year-old child is diagnosed with a minor ailment and is to be administered medications at home for 2 weeks. The child lives with his mother, grandmother, and four other children between the ages of 14 months and 7 years
The home health nurse is asked to assess the home environment to determine if it is appropriate for the child to take his medication at home. Which of the following will have the greatest impact on the nurse's assessment? A) The mother and grandmother's understanding about the drugs B) How clean the house is C) The health status of the other children D) Where the medications will be stored
The nurse is working on a care area that utilizes functional nursing. The nursing management system of functional nursing focuses on:
a. continuity of care for the client. b. a team approach to health care. c. dividing tasks at various levels according to the complexity of the task. d. assigning responsibility of the total care to one specific registered nurse for the shift.
The nurse read in the patient's chart that the patient has a stage III pressure ulcer. Which assessment findings are consistent with this stage of ulcer?
a. Damage to the subcutaneous tissue b. Unblanching skin c. Presence of mottled skin d. Damage limited to the epidermis
An older adult patient reports burning and itching eyes. On assessment, the nurse notes swelling of the eyelid margins bilaterally. What additional data are necessary to confirm the nurse's sus-picion of blepharitis?
a. The patient reports visual disturbances such as rainbow halos. b. The eyelids are reddened from seborrhea. c. The patient is being treated with anticoa-gulants. d. Small corneal hemorrhages are present.