In the Roy Adaptation Model assumptions are specified into one of three categories. Which of the following is not one of the categories?
A) Philosophical
B) Scientific
C) Cultural
D) Biologic
D
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The nurse notes edema in the hands and legs of an older client who appears undernourished. What should the nurse consider as being the reason for this client's edema?
a. Thyroid hormones are out of balance b. The kidneys are failing, causing fluid retention c. Lack of adequate protein is causing a fluid shift d. The client has been drinking large amounts of water to prevent feelings of hunger
What would a nurse ensure before beginning a health assessment?
A) That the time needed for the assessment fits into the nurse's work schedule B) That the room is private, quiet, warm, and has adequate light C) That family members are present to answer specific questions D) That there is a written physician's order for the assessment
A nurse is caring for a military veteran with posttraumatic stress disorder (PTSD). When planning care, which realistic goals should be included in this client's plan of care? Select all that apply
A) The client will not have flashbacks. B) The client will participate in a support group for veterans. C) The client will not need hypnotics to obtain adequate sleep. D) The client will refrain from discussing the traumatic event. E) The client will verbalize the ability to feel a wider range of emotions.
The nurse is caring for a client admitted with a diagnosis of acute kidney injury. When reviewing the client’s most recent laboratory reports, the nurse notes that the client’s magnesium levels are high. The nurse should prioritize assessment for what health problem?
A. Diminished deep tendon reflexes B. Acute flank pain C. Cool, clammy skin D. Tachycardia