During a client's routine physical examination, an aortic aneurysm is detected. The client is distressed and says, "I know this is wrong because I don't have any symptoms or problems!" Which of these responses should the nurse make?
a. "Aneurysms are caused by a hereditary lack of elastin in the arterial wall. Have any relatives had this problem?"
b. "Aneurysms are often asymptomatic until they start leaking or pressing on other structures."
c. "Didn't you see the X-ray pictures of the aneurysm?"
d. "Why don't you seek a second opinion?"
B
Symptoms of aneurysms depend on the location. Aneurysms are often asymptomatic until they start leaking or pressing on other structures.
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A 32-year-old man tells the nurse at the sleep disorders clinic that he awakens almost nightly in the
midst of acting out a violent dream in which he is defending himself against multiple attackers. When he awakens, he finds he has been hitting and kicking his wife to the point of bruising her face, arms, body, and legs. His wife insists that he must get help if she is to sleep in the same bed with him. The nurse assesses this disorder as being most consistent with criteria for a. sleep paralysis. b. sleep-related bruxism. c. night terror disorder. d. REM sleep behavior disorder.
A patient is being discharged after a liver transplant and the nurse is performing discharge education. When planning this patient's continuing care, the nurse should prioritize which of the following risk diagnoses?
A) Risk for Infection Related to Immunosuppressant Use B) Risk for Injury Related to Decreased Hemostasis C) Risk for Unstable Blood Glucose Related to Impaired Gluconeogenesis D) Risk for Contamination Related to Accumulation of Ammonia
To which goal should the LPN/LVN give priority?
a. Resident X who has been experiencing a medication reaction will have no rash and uncompromised respirations. b. Resident Y who is obese and has had a recent knee replacement will ambulate using a walker with the assistance of a staff member. c. Resident Z will receive blood glucose monitoring and insulin as ordered. d. All residents will be weighed before breakfast.
A patient who has been taking a monoamine oxidase (MAO) inhibitor for several months will begin taking amoxapine (Asendin) instead of the MAO inhibitor. The nurse will counsel the patient to begin taking the amoxapine
a. along with the MAO inhibitor for several months. b. at least 14 days after discontinuing the MAO inhibitor. c. the day after the last dose of the MAO inhibitor. d. while withdrawing the MAO inhibitor over several weeks.