A patient has recently been diagnosed with acromegaly. Using Maslow's hierarchy, which of the nursing diagnoses listed below should be of the highest priority in caring for him?
a. Ineffective coping
b. Activity intolerance
c. Risk for trauma
d. Chronic low self-esteem
C
Nursing interventions are mainly supportive. The presence of muscle weakness, joint pain, or stiffness warrants assessment of the ability to perform activities of daily living (ADLs).
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What would be the most appropriate nursing response to a woman who says, "My sister had a child with Tay-Sachs disease, and I want to know if I could have a child with this condition"?
a. "The disease is rare. It is unlikely that you would have a child with Tay-Sachs disease." b. "A screening test can be done to determine if you are a carrier of the gene." c. "The gene for Tay-Sachs disease is transmitted by the father." d. "The cause of Tay-Sachs disease is thought to be an autoimmune response to a virus."
The nurse is interviewing a client prior to a physical examination
The client reports aches, pains, and abdominal discomfort. Which factor does the nurse suspect is impacting the client's physical health? 1. Income. 2. Stress. 3. Ethnicity. 4. Occupation.
A client is diagnosed with blepharitis. What symptoms should a nurse monitor in this client?
A) Patchy flakes clinging to the eyelashes B) A red pustule in the internal tissue of the eyelid C) Redness surrounding the conjunctival sac D) A halo around the pupil
What was the primary reason that communities stopped putting psychiatric patients into large, isolated state psychiatric hospitals for the rest of their lives?
A. Phenothiazine drugs such as chlorpromazine were discovered. B. Families became a political action group and demanded changes in the law. C. Fire broke out, killing thousands of patients, so smaller, more manageable units were built. ANS: A