Did any of Mr. Y's requirements change with the new Dx? If so, list the changes and explain the factors that caused the changes
The immediate concern is not with cholesterol, saturated fats, or fiber etc., but because of the nature of CHF (more fluid than the heart is strong enough to pump), sodium and fluid need to be watched more closely.
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While assessing a client, a nurse detects a bluish tinge to the client's palms, soles, and mucous membranes. Which action should the nurse take next?
a. Ask the client about current medications he or she is taking. b. Use pulse oximetry to assess the client's oxygen saturation. c. Auscultate the client's lung fields for adventitious sounds. d. Palpate the client's bilateral radial and pedal pulses.
A nurse and an adolescent female client develop a plan of care together that addresses the client's difficult relationship with her parents
The client says that her parents just don't understand her, and she is always getting privileges taken away for not doing things that she is supposed to do. What is the nurse's best action? a. Talk with the client about how important it is that she carry through with actions that her parents feel are important. b. Identify two priority responsibilities that are agreed upon between the client and her parents, and monitor her ability to comply with the plan for 1 week. c. Discuss with the parents what responsibilities they feel are important, to determine what actions should be planned with the client. d. Identify what the client feels are reasonable responsibilities.
The aging eye shows all of the following changes except:
a. better ability to focus on near objects b. decreased lens accommodation c. decreased peripheral vision d. presbyopia
The community health nurse is taking care of a client with a minor traumatic brain injury resulting from an automobile accident. The client developed pneumonia and is on IV antibiotics at home. Which level of prevention does this address?
A) Primary B) Secondary C) Tertiary D) Chronic care