The nurse is instructing a client diagnosed with osteoarthritis. Which of the following statements indicates that the client understands these instructions?
1. "Exercise will not be of help because it will stress my joints."
2. "I will need to lose weight; my doctor says about 20 pounds."
3. "I will take my medications only if the pain is very bad."
4. "I can still go on my marathon shopping trips with my daughter."
2
Exercise and weight reduction help maintain joint mobility and muscle strength. Walking can be done at home and is low stress to the joints. Scheduled medications should be taken to relieve inflammation, and pain medications should be taken before the pain gets "very bad." The client should schedule rest periods with activity so as not to do too much at one time.
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The 94-year-old woman has come to the health assessment interview with her 70-year-old daughter, who answers all the interview questions for her mother. What response by the nurse would be the most effective?
a. Say, "I'm speaking to your mother. Please let her answer for herself." b. Continue to interact with the daughter to facilitate completion of the interview. c. Look directly at the patient and say, "Mrs. Smith, now I'd like to hear from you about your health." d. Document that all answers to the interview came from a third party.
The nurse is caring for a female victim of rape. To perform the proper evaluation, the nurse should place the patient in which of the following positions?
a. Sitting b. Dorsal recumbent c. Lithotomy d. Knee-chest
An older adult comes to the clinic complaining of pain in the left foot. While assessing the patient, the nurse notes smooth, shiny skin that contains no hair on the client's lower legs. Which condition does this finding suggest?
a. Venous insufficiency b. Hyperthyroidism c. Arterial insufficiency d. Dehydration
A patient diagnosed with a serious mental illness died suddenly at age 52. The patient lived in the community for 5 years without relapse and held supported employment the past 6 months. The distressed family asks, "How could this happen?"
Which response by the nurse accurately reflects research and addresses the family's question? a. "A certain number of people die young from undetected diseases, and it's just one of those sad things that sometimes happen." b. "Mentally ill people tend to die much younger than others, perhaps because they do not take as good care of their health, smoke more, or are overweight." c. "We will have to wait for the autopsy to know what happened. There were some medical problems, but we were not expecting death." d. "We are all surprised. The patient had been doing so well and saw the nurse every other week."