The nurse is caring for a patient with amyotrophic lateral sclerosis (ALS). The nurse plans care based on which understanding of the patient's prognosis?
1. The disease progresses slowly and is fatal.
2. The disease will progress over many years but the patient's quality of life will be good.
3. The disease progresses rapidly but can be halted by drug therapy.
4. The disease will progress slowly and can be controlled by medication.
1
Rationale 1: The disease is slowly progressive and fatal and is characterized by weakness and wasting of muscles under voluntary control.
Rationale 2: Quality of life is profoundly affected by this disorder.
Rationale 3: Riluzole (Rilutek) is available to treat the disease, but it does not halt it. Death usually occurs due to respiratory failure.
Rationale 4: The disease is slowly progressive and cannot be controlled by medication.
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Which of the following is an accurate statement about the research use process?
a. If nurses decide not to implement findings of a study or set of studies, they are resistant to change. b. Making a decision to delay use of research findings in practice indicates the process was not carried out properly. c. Support for change will be stronger when this type of process is used to introduce new ideas and treatments. d. This process is only appropriate for experienced researchers and not staff nurses.
Which of the following should the nurse instruct a client diagnosed with type 2 diabetes mellitus regarding vision care? (Select all that apply.)
1. Maintain good glucose control. 2. Stop smoking. 3. Limit exercise. 4. Reduce reading. 5. Frequently rest the eyes. 6. Rub eyes daily.
Which is the priority nursing intervention for a client admitted for acute alcohol intoxication?
A. Darken the room to reduce stimuli in order to prevent seizures. B. Assess aggressive behaviors in order to intervene to prevent injury to self or others. C. Administer lorazepam (Ativan) to reduce the rebound effects on the central nervous system. D. Teach the negative effects of alcohol on the body.
Which one of the following statements made by a student would the nurse educator recognize as evidence that a student understands the health continuum?
A) The distinction between health and illness is well demarcated. B) Illness refers to a state of being relatively unhealthy. C) The term health is limited to reflect an individual's state. D) Treatment of acute conditions reflects the current focus of health care.