The nurse is planning the discharge of a 70-year-old patient who lives alone and is recovering from a fractured ankle. What action by the nurse shows an understanding of factors affecting the patient's ultimate return to preinjury function?
a. Encourages the patient to comply with recommendations made by the physical therapist
b. Arranges for the patient's meals to be de-livered daily for several weeks after dis-charge
c. Assesses the barriers to self-ambulation that exist in the patient's home
d. Educates the patient on the importance of a diet that promotes both bone and muscle healing
C
In the hospital setting, health care professionals can become so involved in addressing the acute condition that they fail to appreciate the underlying problems and how these too influence the patient's health and recovery. Assessing for ambulation barriers in the patient's home has a long-term effect on the patient's ability to regain independence.
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In general, healthy families are able to adapt to changes within the family unit; however, some factors add to the usual stress experienced by any family. The nurse is in a unique position to assess the child for symptoms of neglect
Which high-risk family situation places the child at the greatest risk for being neglected? a. Marital conflict and divorce b. Adolescent parenting c. Substance abuse d. A child with special needs
An adult female says, "I don't need contraceptives, because my cycles are as regular as clockwork. I know when I should abstain from intercourse, because I do not want to get pregnant." Select the nurse's best response
a. "You are fortunate that your cycles are so regular. Most women are unable to rely on this approach to contraception." b. "You are still at risk for getting a sexually transmitted disease. Let's discuss contraceptive options that will prevent disease." c. "Many factors can change the menstrual cycle. You're fortunate to have regular cycles, but an additional method of contraception should be used to prevent pregnancy." d. "You have described the rhythm method of contraception. Women have used that method successfully for thousands of years."
The nurse reviewing a client record notes a documented finding of "vitiligo present bilateral hands." Which assessment finding should the nurse anticipate?
A. Dark, asymmetrical colored patches. B. Nodules with ulcerations. C. Abnormal loss of melanin in patches. D. Grouped vesicles.
Implementing a treatment plan that includes mecamylamine requires monitoring the patient for:
A. mental depression. B. suicidal ideation. C. depression of the cardiovascular system. D. neuropsychiatric effects such as hostility.