An older patient with cardiac disease is having sleep problems and insomnia. Of what health problem should the nurse consider these manifestations?
1. Normal signs of aging
2. Predictive signs of respiratory disease
3. Symptoms of the negative effects of stress
4. Expected manifestations of cardiac disease
3
Rationale: Sleep problems and insomnia are not normal signs of aging.
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Victims of a house fire are being admitted through the emergency department. Of the patients, the nurse realizes that which of the following will have the greatest risk for mortality from the burn injuries?
1. 75-year-old female with arthritis 2. 50-year-old male with no chronic illnesses 3. 49-year-old female with carpal tunnel syndrome 4. 25-year-old female with tennis elbow
When preparing to administer apomorphine, the nurse collects appropriate equipment consisting of:
a. a plastic medicine cup, because this comes only in liquid form. b. a 22-gauge 1 1/2 inch needle on a 3 mL syringe. c. a 25-gauge 5/8 inch needle on a 1 mL syringe. d. a clean glove and water-soluble lubricant
A parish health nurse is working with a particular congregation in setting up a support program for shut-ins within the congregation who are not able to come to regular prayer services. In which role is this nurse functioning?
1. Counselor 2. Educator 3. Referral source 4. Facilitator
A 14-year-old, in the second trimester of pregnancy, has been hiding the pregnancy from her parents. The nurse is helping them develop a plan of care. What is the best thing she can say to the clearly angry parents?
A) "Your daughter needs to make decisions about this pregnancy for herself." B) "I know you must be very upset and angry about your daughter's pregnancy but because she's still an adolescent herself, she'll need your guidance in making nutritional and health choices that will be good for the baby and for herself." C) "Anger won't help this situation at all. You'll only push your daughter away and she'll be less likely to make good choices." D) "I understand your anger but if you had encouraged your daughter to use condoms she would probably not be in this situation."