An African-American caregiver says, "Both of my parents have dementi
a. I find it so difficult to care for them because of their disabilities. I get depressed and hopeless thinking about it. Can you give me any suggestions for coping?" Before making suggestions, the nurse should assess:
a. the parents' stage of dementia.
b. the caregiver's religious ideology.
c. whether or not the parents' medications are helping.
d. if financial resources are sufficient to provide a health care aide.
B
Serious illness of loved ones often presents difficult dilemmas and problems in adjustment for caregivers. It is known that religious activities are important coping mechanisms for many African-American caregivers of older adults. The correct answer is the only option directly concerned with caretaker coping. The foci of the other options are on the parents.
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The nurse is caring for clients on the medical-surgical unit. What action by the nurse will help prevent a client from having a type II hypersensitivity reaction?
a. Administering steroids for severe serum sickness b. Correctly identifying the client prior to a blood transfusion c. Keeping the client free of the offending agent d. Providing a latex-free environment for the client
A nurse is admitting a patient to the hospital. The patient admits to a history of sleep problem. Which of the following questions will help the nurse understand the severity of the patient's sleep problem?
a. "How long does it take you to fall asleep?" b. "Tell me why you think you have a sleep problem." c. "Have you been told that you snore loudly?" d. "When did you notice the problem?"
Clinical manifestations of ischemic hepatitis show up 1 to 2 days after the insult. Which symptom below is indicative of hepatic insufficiency?
a. Elevated serum creatinine b. Decreased bilirubin c. Jaundice d. Decreased serum transaminase
For the client taking enteric-coated aspirin for a heart condition, the nurse should instruct the client:
a. crush the aspirin before taking it with the antacid. b. avoid taking the antacid with water as this will dilute the antacid. c. not to take his antacid within one to two hours of his EC (enteric-coated) aspirin. d. EC aspirin and magnesium containing antacids cannot be taken together.