While taking a client's health history, the nurse learns that the client worked at a landfill for the last 35 years. This information is most significant because it could indicate:
1. Possible exposure to environmental toxins.
2. The client's lack of communication skills.
3. The client is elderly.
4. The client's level of education.
Possible exposure to environmental toxins.
Rationale: While all of the client's statements are important information to obtain when taking a health history, the client's occupation could involve exposure to such toxins as arsenic, coal tar, creosote, and/or petroleum products. Landfills are a risk factor for skin cancer.
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Which of the following statements made by a family caregiver would a nurse consider most in-dicative of elder abuse?
a. "I get so frustrated because my father used to be so competent and now cannot even feed himself." b. "Mom cannot pay her own bills anymore. We went to the bank and arranged for me to have access to her checking account and help her pay the bills." c. "My dad wanders at night and I can't be bothered with him. I mix sleeping pills in his dinner so that he will fall asleep." d. "Mom asks me to do everything for her, but I think it is better if she keeps on do-ing as much as she is capable of."
The nurse is implementing evidenced-based practice in the care of a client. Which of the following will the nurse include when utilizing evidenced-based practice?
a. Discover the client's preferences b. Determine the least expensive care providers to provide care to the client c. Identify generic drugs that can be used d. Limit contact with the client
Which of the following is a priority nursing intervention for a child or adolescent newly started on an SSRI antidepressant?
A) Teaching dietary restrictions B) Keeping the child on one-to-one observation C) Teaching the child relaxation exercises D) Close monitoring for suicidal thoughts or actions
Goals of care for an older adult patient diagnosed with delirium caused by fever and dehydration will focus on:
a. returning to premorbid levels of function. b. identifying stressors negatively affecting self. c. demonstrating motor responses to noxious stimuli. d. exerting control over responses to perceptual distortions.