Freedom from restraint:
a. Is a resident right protected by CMS
b. Is a nursing center policy
c. Applies only to confused and disoriented persons
d. Requires informed consent
A
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A middle-aged man has presented for care to a nurse practitioner because his seasonal allergies are detracting from his quality of life. What should the nurse teach this patient about allergic rhinitis?
A) Allergic rhinitis is a risk factor for chronic obstructive pulmonary disease (COPD). B) A diagnosis is based on signs and symptoms because no objective diagnostic tests exist. C) Allergic rhinitis develops as a result of prolonged exposure to unhygienic conditions. D) Immunotherapy may have the potential to provide long-term relief from symptoms.
What disorder of the vulva is most likely causing her problems?
A 24-year-old travel agent comes to your clinic, complaining of pain and swelling in her vulvar area. She states that 2 days earlier she could feel a small tender spot on the left side of her vagina but now it is larger and extremely tender. Her last period was 1 year ago and she is sexually active. She uses the Depo-Provera shot for contraception. She denies any nausea, vomiting, constipation, diarrhea, pain with urination, or fever. Her past medical history is significant for ankle surgery. Her mother is healthy and her father has type 2 diabetes. On examination she appears her stated age and is standing up. She states she cannot sit down without excruciating pain. Her blood pressure, temperature, and pulse are unremarkable. On visualization of her perineum, a large, red, tense swelling is seen to the left of her introitus. Palpation of the mass causes a great deal of pain. A) Bartholin's gland infection B) Vulvar carcinoma C) Secondary syphilis D) Condylomata acuminata
The nurse, trying to promote positive health habits regarding stress management is aware of the external influences on young and middle adult clients. With this knowledge, the nurse recognizes that an effective strategy for this age-group is:
1. Teaching clients to abstain from all alcohol consumption 2. Demonstrating how to take an accurate blood pressure measurement 3. Determining an effective daily exercise schedule for stress reduction 4. Describing the types of medications commonly used for treating depression
A client is taking a medication for a condition whose indication is not listed and asks the nurse why the health care provider would prescribe this drug. Which response by the nurse is the most appropriate?
1. "Some medications may be used for conditions for which they have not been approved. This is called an ‘off-label' indication." 2. "Some medications may be used as a prototype drug for a specific condition and are not listed in the nursing drug handbook." 3. "A medication can only be used for the specific condition for which it was approved." 4. "This is a generic drug, and not all generic drugs are in the nursing drug handbook. Only trade name drugs are listed."