The pathogenic approach directs nurses towards
1. Promotion of greater levels of positive health.
2. Teaching about common disease processes
3. Acute care management of chronic disease.
4. Disease prevention, risk appraisal, and disease management
ANS: 4
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Which of the following statements by patients should prompt the nurse to assess for potential failure of the adrenal cortex?
A) "I'm always exhausted these days, and I never really feel like eating." B) "Lately, I find that I'm more irritable and impatient than normal." C) "The last little while I get numbness and tingling in my lips and fingers a lot." D) "My thirst is almost insatiable these days, and my mouth always feels dry."
A nurse is caring for a client with a chronic lower leg wound caused by venous insufficiency. Which action by the nurse is most appropriate?
a. Apply ice to the surrounding tissue. b. Elevate the leg and apply compression stockings. c. Keep the leg in one position to avoid further injury. d. Position the leg flat with heels elevated off the bed.
The nurse is assigning support personnel to assist the families of clients who have died in dealing with the stress related to the loss of their family members. Which family would the nurse screen as at highest risk for complicated grief?
The family of a client who 1. died after a long battle against cancer. 2. died after developing diabetes-induced renal failure. 3. was killed in the robbery of a bank. 4. died from chronic heart disease.
Integrating a cholinergic drug into the existing treatment plan of a patient already taking a ganglionic blocking drug could result in a drug interaction characterized by:
A. additive vasodilating effect to produce hypotension and cardiovascular collapse. B. additive anticholinergic effect of ganglionic blockade on the gastrointestinal and urinary tracts. C. additive antiadrenergic effect that leads to hypotension and cardiovascular collapse. D. antagonism of anticholinergic effect of ganglionic blockade on the gastrointestinal and urinary tracts.