You know that potential causes for some of R.M.'s symptoms include depression,
hypothyroidism, anemia, cardiac disease, fluid and electrolyte imbalance, and allergies.
As
part of your screening, describe how you would begin to investigate if any of these conditions
explain R.M.'s symptoms.
Observe her responses to your questions, noting her level of engagement, animation, and any
evidence of apathy or sadness. Obtain a detailed health history and conduct a thorough physical
assessment. Assess the cardiopulmonary system, listening to heart and lung sounds and checking
for peripheral edema. Note responses to questions that signal symptoms of sleep apnea that might
be present and could explain other clinical findings.
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Which factor(s) associated with aging contribute(s) to the high incidence of type 2 di-abetes mellitus in older adults?
a. Fewer T-lymphocytes b. Less lean muscle mass c. Decreased thyroid function d. Decreased physical activity e. Left ventricular hypertrophy f. Decreased insulin sensitivity
A nurse is caring for a patient with a terminal illness whose prognosis is grim. The nurse informs the family about hospice care. What should the nurse let them know about hospice care?
a. It is designed for people who have less than a 6-month life expectancy. b. It is provided in the hospital setting. c. It helps to hasten the death process to relieve suffering. d. It has predetermined goals that will be explained at the right time.
A client is crying because her endometrial cancer is scheduled to be treated with chemotherapy agents that will cause hair loss. Which is the most appropriate response from the nurse?
a. "You should prepare yourself for total hair loss all over your body." b. "You can start shopping for wigs and scarves now so you'll have them availa-ble." c. "Why not shave your hair off now so that you can have it made into a wig?" d. "Would you like me to put you in touch with a former client so that you can talk?"
What would be the method of choice for obtaining a urine specimen from a 3-year-old child with a possible urinary tract infection?
A) Performing a suprapubic aspiration B) Placing a cotton ball in the underwear to catch urine C) Placing an indwelling urinary catheter D) Obtaining a clean catch voided urine