In planning the care of a client with Crohn's disease for 10 years who has developed Sjögren's syndrome, the nurse would include
a. applying frequent cool soaks.
b. cleansing the eye to remove crusts.
c. instilling lubricating eye drops frequently.
d. reducing lighting in the room.
C
Sjögren's syndrome is a condition is which tear secretion is reduced and is associated with several systemic disorders, including Crohn's disease. Frequent instillation of lubricating eye drops or ointment is effective in most cases. The other options are not treatments for this condition.
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Which of the following are examined with the patient in a reclining 45-degree position?
a. Bilateral hips and popliteal angles b. Facial bones and cranial nerves V and VII c. Jugular venous pulsation and pressure d. Oropharynx and thyroid gland placement
The nurse is helping a 58-year-old gentleman who was recently admitted to the unit with nephrotic syndrome plan his menu. This gentleman's admission vitals were blood pressure 140/90, height 6 ft 3 in, and weight 200 pounds
His labs revealed proteinuria and hyperlipidemia. He also has 2+ pitting edema. The nurse determines his daily protein intake should be which of the following? (Round to the nearest whole number) A) 54 to 63 g B) 64 to 73 g C) 74 to 83 g D) 84 to 93 g
The nurse is creating a nursing care plan for an older adult client who is regularly physically active. Which of the following topics would be included?
1. The older adult does not require as much fluid for rehydration when compared to a younger athlete. 2. The older adult can rely on their level of thirst to know when they need to replace fluids. 3. The older adult has typically lost some muscle as a result of age and will have a lower basal metabolic rate than the younger athlete. 4. The older adult may need to eat more than the younger athlete during training to help restore depleted energy stores.
A client complains that despite good medical care, his wife frequently talks about a variety of physical complaints and bodily sensations, including insomnia, anorexia, and pain. The nurse's best response to his concerns is what?
A) "From what I understand, your wife has always been a chronic complainer. Is that true?" B) "It's part of the anxiety from her illness. It's best to just ignore her complaints." C) "These are symptoms of cancer and should be investigated immediately." D) "These are common complaints as we age; conveying concern and support would be helpful."