The nurse is planning palliative care for a patient with severe atherosclerotic disease. Which of the following would be of the highest priority for this patient?
1. Pain and symptom management
2. Financial resource utilization
3. Tolerance of physical activity
4. Redesign of the patient's home to support assistive devices
Pain and symptom management
Rationale: When providing care to patients in a palliative care program, targeted interventions are common and include pain and symptom management, end-of-life care planning, and interventions to support the patient's psychosocial and spiritual needs. Finances, physical activity, and home environment are not a high priority at this time.
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The patient is complaining of dyspnea. The nurse assesses the patient's chest and hears wheezing throughout the lung fields. What might this indicate?
A) The patient is in bronchospasm. B) The patient has pneumonia. C) The patient needs physiotherapy. D) The patient has a hemothorax.
When the patient asks the nurse the significance of white, curd-like discharge from the vagina, the nurse responds that the:
A) Drainage is physiologic and normal. B) Patient may have a Candida species infection. C) Drainage is caused by vaginal dryness. D) The patient may have Chlamydia.
Prior to administering a medication, the nurse should:
a. ask the client about drug allergies. b. ask the client why he or she is prescribed the medication. c. draw laboratory specimens. d. have the client empty his or her bladder.
The nurse is caring for a hospitalized client diagnosed with schizophrenia. Which of the following would be appropriate for the nurse to include in the client's legal record?
A) "Client stated that he or she had a good night with no complaints." B) "Complained of being unable to sleep because he or she heard voices throughout the night." C) "Had a typical night without incidence of insomnia or nightmares." D) "Acted crazily throughout the night; kept hearing voices and noises."