A 47-year-old woman was diagnosed with amyotrophic lateral sclerosis 3 years ago and has experienced a progressive onset and severity of complications
She has been admitted to a palliative care unit due to her poor prognosis? What assessments and interventions should the nursing staff of the unit prioritize in their care?
A)
Assessment and documentation of cognitive changes, including confusion and restlessness
B)
Regular pain assessment and administration of opioid analgesics as needed
C)
Assessment of swallowing ability and respiratory status
D)
Cardiac monitoring and administration of inotropic medications
Ans:
C
Feedback:
The late stages of ALS normally involve deterioration in swallowing and speech and in the respiratory musculature. Cognitive changes are not common complications, and pain and cardiac complications are not noted to be paramount in the course of ALS.
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_____________________ personality disorder is characterized by colorful, dramatic, and extraverted behavior in excitable, emotional people
Fill in the blank(s) with correct word
The following content may be included in the concept map
a. risk factors b. brief pathophysiology of each health condition c. significant other demographic data d. reason for hospitalization
The nurse is preparing to administer an intramuscular injection to a toddler-age client. Which is the most appropriate statement by the nurse prior to this procedure?
1. "It is all right to cry. After we are done, you can go to the box and pick out your favorite sticker." 2. "We will give you your shot when your mommy comes back." 3. "I will wipe your skin with a magic wipe and then hold the needle like this and say ‘one, two, three, go' and give you your shot. Are you ready?" 4. "This is a magic sword that will give you your medicine and make you all better."
If the patient is unable to lift her hips to receive the bedpan, you should
A) lift her by placing your hands at her waist and below the buttocks, then quickly inserting the bedpan. B) elevate the patient's buttocks by lacing your hands behind her knees and lifting upward. C) roll the patient on her side, place the pan, then return the patient to her back. D) elevate the head of the bed to make it easier to lift her hips.