The nurse is caring for a patient with Huntington's chorea. Which symptoms typically would be seen in the patient with this disease? (Select all that apply.)
a. Fidgeting
b. Restlessness
c. Constant movement
d. Dementia
e. Difficulty swallowing
A, B, C, D
Huntington's chorea is a degenerative neurologic disorder characterized by abnormal movements (chorea). The disease begins with the patient being fidgety and progresses to constant movement and intellectual decline. Death usually occurs within 15 to 20 years after diagnosis.
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A nurse cares for an older adult client with heart failure. The client states, "I don't know what to do. I don't want to be a burden to my daughter, but I can't do it alone. Maybe I should die." How should the nurse respond?
a. "Would you like to talk more about this?" b. "You are lucky to have such a devoted daughter." c. "It is normal to feel as though you are a burden." d. "Would you like to meet with the chaplain?"
How should the newly diagnosed patient who has been prescribed isoniazid (INH) for the treatment of active tuberculosis (TB) be advised?
a. Report redness and swelling of extremities b. Accept that the therapy is long term c. Monitor renal function every several months d. Rise slowly to avoid dizziness
The nurse is planning care for a client with shortness of breath. Which of the following should the nurse do to address the client's activity intolerance?
1. Have a dietary consult for low calorie meals 2. Encourage activity 3. Encourage independence with activities of daily living 4. Consult physical therapy for endurance and musculoskeletal function
The total volume of air that can be forcibly exhaled after a maximum inhalation is known as the:
a. tidal volume. b. total lung capacity. c. residual volume. d. vital capacity.