An older patient has an increase in pitting edema of both ankles and is experiencing breathlessness. The patient is not experiencing any pain. What action should the nurse take to help the patient at this time?
1. Allow the patient to rest.
2. Measure intake and output.
3. Measure the patient's weight.
4. Contact the physician for further evaluation and treatment.
4
Rationale: Although allowing the patient to rest may reduce the breathlessness, this alone does not provide the appropriate intervention to address the patient's underlying problem.
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The home care nurse assesses an older adult client's blood pressure as being 150/100 mmHg
When reviewing medications, the client reports taking the blood pressure medication only when feeling tense. Which instruction from the nurse is most appropriate based on the data provided? A) Continue to take medication when feeling tense. B) Take the blood pressure medication as prescribed regardless of feeling tense. C) Take the blood pressure medication at twice the prescribed dosage for 1 day and then resume the daily schedule. D) Contact the healthcare provider for an increase in blood pressure medication.
A client tells the nurse that she wants to be checked for a bowel infection because she has been constipated. The nurse should instruct this client that constipation is NOT caused by:
a. low-fiber diet. c. diverticular disease. b. dehydration. d. infectious agents.
The nurse has identified that many of the clients in the long-term care facility have spiritual concerns and distress. What is the nurse's first step in becoming a competent provider for these clients?
A) The nurse should start going to church more often. B) The nurse must possess a healthy spiritual self-awareness. C) The nurse must learn about diverse spiritual beliefs and practices. D) The nurse should establish regular religious services in the facility.
The theorist who wrote eight developmental tasks or stages as opposites or contradictions of each other is:
A) Erikson B) Jung C) Ellis D) Kohlberg