A nurse is caring for a disabled individual and her family. The nurse recognizes that a potential effect on the family may include
a. High out-of-pocket expenses to receive necessary services
b. Alteration of self-concept and self-esteem
c. Compliance with necessary legislation to maintain services
d. Provision of health care services by the health department
ANS: A
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A nurse working in an OB/GYN outpatient clinic finds that on a routine anemia screen a pregnant client in her second trimester has a hemoglobin of 10 g/dL and a serum ferritin level of 11 mg/L. The client confirms fatigue, but otherwise feels fine
Which actions by the nurse are appropriate when providing care to this client? Select all that apply. A) Complete a further history and exam to carefully assess for any potential cause of bleeding. B) Review a list of iron-rich foods and explore with the client how she can increase dietary iron. C) Have the client continue her usual daily prenatal vitamin dose. D) Stress the importance of complying with an increase in iron supplementation to 100 mg per day. E) Ask the client to return in 2 months for a repeat check of her serum iron levels. F) Order a screening for sickle cell anemia.
A nurse is caring for a patient with a terminal diagnosis of a brain tumor. The family and patient wish for him to be in their home during the end of his life. The family has decided hospice will become involved
Which of the following nursing actions address priority core processes at this time? 1. Determine the number of family members available to participate in care. 2. Helping the family determine the ways they will celebrate holidays after the death. 3. Discuss the communication patterns and emotional bonds of the family at this time and prior to the illness. 4. Identify the health routines of the family that need to be modified so family health can be regained.
To assess a patient's readiness to learn before planning, teaching activities, which question should the nurse ask:
a) What kind of work and leisure activities do you do b) What information do you think you need right now c) Do you have any religious beliefs that are inconsistent with the treatment
The nurse is preparing to perform a physical examination on a client who has cardiopulmonary disease. Knowing this about the client, the nurse is alert for the presence of which of the follow-ing when checking the client's nails?
a. Clubbing b. Bands in nailbeds c. Yellow discoloration d. Splinter hemorrhages