A 73-year-old man admitted that he was permanently disabled. What is the most probable cause of his disability?
a. Arthritis
b. Head injury
c. Homelessness
d. Alzheimer disease
ANS: A
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The nurse is planning care for a client experiencing dyspnea and a subsequent activity intolerance. Which action by the nurse is the most appropriate?
A) Encourage strenuous activity. B) Consult a dietitian for low-calorie meals. C) Consult physical therapy for endurance and musculoskeletal function. D) Encourage dependence with activities of daily living.
A client with an anxiety disorder uses humor to conceal feelings of inadequacy. The client asks the nurse why the behavior is used. What should the nurse explain to the client?
1. The client is in denial. 2. The client is regressing. 3. The client is sublimating. 4. The client is attempting to cope.
The nurse providing care for a woman with gestational diabetes understands that a labor-atory test for glycosylated hemoglobin Alc:
a. Is now done for all pregnant women, not just those with or likely to have di-abetes. b. Is a snapshot of glucose control at the moment. c. Would be considered evidence of good diabetes control with a result of 2.5% to 5.9%. d. Is done on the patient's urine, not her blood.
A nurse caring for a patient admitted 2 days ago following a cerebral vascular accident notes that the patient is frequently coughing, has food falling from the mouth while eating, and frequently chokes
What would be the most pertinent nursing diagnosis for this patient? A) Impaired dentition B) Alteration in mobility C) Altered cerebral perfusion D) Impaired swallowing