A nurse is caring for a client with a diagnosis of Hodgkin's disease. Which of the following findings would the nurse MOST likely expect to see documented in the client's record?
a. weakness c. weight gain
b. fatigue d. enlarged lymph nodes
D
Hodgkin's lymphoma is a disease of unknown origin that usually begins with painless swelling of lymph nodes in the neck but may involve lymph nodes in the axillary, inguinal, mediastinal, and mesenteric regions. Other symptoms may include weight loss, anorexia, fatigue, pruritus, fever, chills, night sweats, anemia, thrombocytopenia, and decreased resistance to infection.
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A client with emphysema who has severe shortness of breath and frequent hospitalizations often
depends on her portable oxygen tank when she leaves her home. Recently she was tearful at a Better Breathers Group meeting because in the last 2 weeks she has not been able to go upstairs to her bedroom at night because of slight shortness of breath by the third step and fear of having severe breathing difficulty as she continues up the stairs. The group leader provides several suggestions and arranges to teach the client guided imagery. What image would the client be encouraged to imagine? a. A younger, healthier body that knows no exercise limitations. b. Learning to sleep downstairs as an acceptable alternative to her bedroom. c. Separating herself from and being free and independent from her oxygen tank. d. Walking up the stairs in a relaxed manner with regular depth and rate of breathing.
Which statement regarding the training approach is true?
1. Users may choose online multimedia or online tutorials to enhance retention. 2. Computer-based training should be used whenever data entry is required. 3. Blended learning is popular because it is appropriate for almost any content need. 4. Instructor-led training is still the best approach even though it is now less prevalent.
A geriatric nurse practitioner working with a tribe of Native Americans makes the decision to acculturate in an attempt to provide culturally appropriate care. The nurse does this best by
a. living the values of the tribe. b. researching the tribe's belief systems. c. learning the language of the tribe. d. residing among the tribe members.
The nurse is developing a teaching plan for an older adult patient with Alzheimer's disease and her family. Which point should the nurse include in the teaching plan before discharge?
a) Importance of quitting smoking b) Availability of community resources c) Adherence to a low-fat diet d) Importance of physical exercise