The nurse is frustrated with a client from a different culture who is not adhering to the prescribed medication regime. Which of the following should the nurse assess in this client?
1. Hearing
2. Vision
3. Orientation
4. Literacy
4
If a client whose dominant language is not English appears to be nonadherent to the prescribed health care regime, the nurse should assess if the client understands the written instructions. The client could be illiterate. The nurse does not need to assess the client's hearing, vision, or orientation.
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A patient who is immunosuppressed asks the nurse why he is experiencing so many illnesses. How should the nurse respond?
1. "You are unable to develop immunity to common bacteria, so you experience more illnesses." 2. "Your body takes longer to develop an immune response." 3. "Your body thinks everything is foreign matter and responds with an illness." 4. "You are under severe stress, which is causing the illnesses."
Order: For every 100 mL of urine output, replace with 30 mL of water via PEG tube q.4h. The client's urine output is 350 mL. What is the replacement volume?
1. 10.5 mL 2. 105 mL 3. 1050 mL 4. 11.67 mL
An older adult, aged 72, with type 2 diabetes and coronary artery disease is admitted to a long-term care facility. The client takes glipizide (Glucotrol) and isosorbide mononitrate (Imdur)
The medical history states that the client drank 4 ounces of whiskey per day for many years. Which of the following actions should be a priority for the admitting nurse? A) Assess and observe for depression. B) Assess for hypoglycemia and hypotension. C) Evaluate the client for renal failure. D) Evaluate blood work for changes in electrolytes.
When explaining the present economic challenges to students in the community health course, the nurse educator emphasizes the importance of nurses being familiar with:
1. the current shift from inpatient to outpatient care 2. consumer presence on the boards of nursing associations and regulatory agencies 3. diagnostic-related groups (DRGs) 4. advances in science and technology