The nurse must instruct a 35-year-old client with Down syndrome about use of an albuterol rescue inhaler. Which of the following demonstrates individualization of the education plan for this client?
a. developmental stage is adult at age 35, information given in short sentences, motor skills not assessed
b. lesson focused for client of school-age developmental level, authoritarian style, client taught at meal time
c. client's understanding of health assessed, questions answered on age-appropriate level, television on in room
d. client understanding of illness, motor skills and developmental stage assessed, clarification provided
Ans: d. client understanding of illness, motor skills and developmental stage assessed, clarification provided
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A client who is receiving IV therapy has decreased urine output, has poor skin turgor, and is becoming confused. The nurse should suspect that the client is becoming:
a. overhydrated c. septicemic b. dehydrated d. edematous
Which of the following is the principle site for regulation of fluid and electrolyte balance?
1) The heart 2) The vascular system 3) The pulmonary system 4) The kidneys
As the health care provider, you are informing a patient that he or she has a terminal illness. This discussion is most likely to be discouraged in which cultural group?
a. Navajo Native Americans b. Dominant Americans c. First-generation African descendants d. First-generation European descendants
To drain the right lateral lower lung segments, the nurse will position the patient
A) sitting upright or semi-reclining. B) in a back-lying position. C) lying on the left side. D) lying on the right side, hips elevated.