The home care nurse is caring for a client who has recently undergone a subtotal gastrectomy. The nurse notes that the client's tongue is shiny and beefy red. Which assessment question does the nurse ask the client regarding this finding?
a. "Have you been taking your multivitamin every day?"
b. "How much weight have you lost since your surgery?"
c. "Have you been experiencing heartburn or nausea after eating?"
d. "What kind of mouthwash do you use after you brush your teeth?"
A
Symptoms of atrophic glossitis are caused by a decrease in vitamin B12, which results from lack of intrinsic factor secondary to surgical resection of a portion of the stomach. The nurse should check to see whether the client has been taking the prescribed multivitamin every day. The other questions will not help the nurse discover the cause of this finding.
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When assessing an older client for indications of depression, the nurse bases the in-tervention on the knowledge that:
a. The older client's symptoms may be atypical for the disorder b. Depression is a common mental disorder among the older population c. The older client is generally willing to discuss their mental health symptoms d. Depression is not as commonly seen in this population as are anxiety disor-ders
The nurse performs an assessment of a client's extraocular movement and notes no difficulty. Which additional assessment data assist in confirming this finding?
a. No episodes of double vision b. Synchronized blinking movements c. No reports of headaches and dizziness d. Both pupils constricting equally in re-sponse to light
The work of Joffe et al. emphasizes that studies of efficacy of treatment may need to focus on:
a. the client's perception of benefit b. the DSM-based diagnostic criteria c. hormonal responses to medication d. length of symptom-free periods