The hospice nurse is teaching the family of a terminally ill client the signs of approaching death, including: Standard Text: Select all that apply
1. Loss of muscle tone.
2. Bounding pulse.
3. Decreased urinary output.
4. Noisy respirations.
5. Stable blood pressure.
1,3,4
Rationale: Loss of muscle tone, including incontinence; constipation; and nausea can be signs of approaching death.
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An elderly patient has come in to the clinic for her twice-yearly physical. The patient tells the nurse that she is generally enjoying good health, but that she has been having occasional episodes of constipation over the past 6 months
What intervention should the nurse first suggest? A) Reduce the amount of stress she currently experiences. B) Increase carbohydrate intake and reduce protein intake. C) Take herbal laxatives, such as senna, each night at bedtime. D) Increase daily intake of water.
A 26-year-old professional began using cocaine recreationally several months ago and has begun using the drug on a daily basis over the past few weeks He has noticed that he now needs to take larger doses of cocaine in order to enjoy the same high that he used to experience when he first used the drug. A nurse should recognize that this pattern exemplifies
A) drug tolerance. B) addiction. C) dependence. D) withdrawal.
The client states a history of lymphogranuloma venereum diagnosed 6 months ago. When completing the head-to-toe assessment, which area should be a focus?
A) Mental status B) Lesions on the genitals C) Lymph nodes of the genital area D) Lower extremities for edema
Restorative nursing may involve measures that promote which of the following?
a. Self-care b. Encouraging use of a Foley catheter c. Immobilization d. Bedrest