The nurse is examining a client with congestive heart failure (CHF) who is prescribed propranolol and furosemide. The client complains of fatigue and an inability to finish tasks. Which conclusion by the nurse is the most appropriate?
A) The medication needs adjustment.
B) The client has not been exercising.
C) The client is experiencing normal findings for the disease process.
D) The client should be hospitalized.
Answer: C
CHF and the drugs prescribed for it cause the client to be fatigued. Although this would be considered abnormal in most clients, it is expected in the client with CHF. The client does not need to be hospitalized for fatigue. Fatigue is not an indication that the medication needs adjusting. A lack of exercise would not cause the client to experience fatigue severe enough to prevent the completion of tasks.
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The psychiatric–mental health nurse is working with the new graduate nurse who is orienting to the psychiatric unit. Which comment by the new graduate indicates further clarification of the generalist-nursing role is needed?
1. "I would feel better if you would look at my documentation that addresses progress toward treatment goals." 2. "I will spend time each day evaluating the effectiveness of the therapeutic milieu." 3. "I am a little nervous about conducting psychotherapy with clients." 4. "I am doing some reading on how to incorporate complementary interventions into treatment plans."
Goals are broad statements of purpose that describe the aim of nursing care. As such, goals:
a. are considered short term if achieved within a month of identification. b. always have established time parameters, such as "long-term" or "short-term." c. are mutually acceptable to the nurse, patient, and family. d. can be vague to facilitate evaluation of achievement.
In reviewing the job description of a nurse manager, the staff becomes aware that a nurse manager's role is complex. Which of the following duties are required of a nurse manager? (Se-lect all that apply.)
a. Ensure unit productivity reports. b. Develop policy and legislation to protect nurses' well-being. c. Plan staffing of UNPs only. d. Prepare a unit budget that reflects unit staffing needs. e. Monitor nurse-sensitive indicators such as falls and incidence of infections.
Why is it important for the nurse to be cautious when using medical jargon with an older adult patient?
a. It could become an opportunity to instruct the patient. b. It could become an effective abbreviated communication shortcut. c. It could become an indicator of formal communication. d. It could become a communication barrier.