A home health nurse visits a patient with COPD who is on constant oxygen therapy and very demanding. The wife has cared for this patient for 6 years. When the nurse asks about her sleep the wife responds, "I don't need much sleep anymore
I must be able to hear if he calls out during the night.". Select the nurse's most therapeutic response. a. "It sounds like you are very devoted to your husband.".
b. "Your husband is lucky to have you to caring for him rather than being placed in a nursing home.".
c. "If you keep going like this, your health will be impaired also. Then who will take care of both you and your husband?"
d. "I noticed you fell asleep while I was assessing him. Sleep deprivation can lead to accidents. I'm concerned about both of you.".
D
The correct answer makes an observation, gives important information about safety, and communicates care and compassion for the spouse. The distracters do not invite further dialogue with the wife.
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1. Acute glaucoma. 2. Blepharitis. 3. Periorbital edema. 4. Anisocoria.
When assessing the patient with pericardial effusion, the nurse will check for pulsus paradoxus, which is characterized by a:
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A nurse is planning the assessment of a patient who is exhibiting signs and symptoms of an autoimmune disorder. The nurse should be aware that the incidence and prevalence of autoimmune diseases is known to be higher among what group?
A) Young adults B) Native Americans C) Women D) Hispanics
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1. Rapidly replenishing lost protein with foods of high biological value 2. Progressing the rate, volume, and concentration of a tube feeding with every feeding 3. Pushing a liberal intake of water and other hypotonic fluids 4. Correcting any electrolyte imbalances before aggressive nutritional therapy is begun