A nurse is caring for a client who is at the end of life.
Which of the following interventions is most effective in reducing the client's social isolation?

Encourage family members to call the client.

Schedule home visits with the client.

Instruct the client to join an online support group.

Ask the client's friends to text the client.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Encouraging family members to call the client is a valuable emotional and social support, but it may not be as effective in reducing social isolation for a client at the end of life. While communication with loved ones is important, it may not fully address the client's need for personal interaction.

Choice C rationale:

Instructing the client to join an online support group can be a useful intervention to reduce social isolation, especially in cases where physical interaction is limited. However, it may not be as effective for all clients, as comfort with technology and online groups can vary. Additionally, it should be one of several strategies used to address social isolation.

Choice D rationale:

Asking the client's friends to text the client is a positive gesture, but it may not be as effective as scheduling home visits with the client. Text messages may not provide the same level of personal interaction and emotional support that physical visits can offer.

Choice B rationale:

Scheduling home visits with the client is the most effective intervention to reduce social isolation in a client at the end of life. It allows for in-person interaction, emotional support, and the opportunity to address the client's physical and emotional needs directly. Face-to-face contact can significantly improve the client's sense of connectedness and reduce feelings of isolation.

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Correct Answer is D

Explanation

The correct answer is choiced. Location of blood pressure cuff.

Choice A rationale:The systolic blood pressure of 102 mm Hg is within a normal range and does not require clarification.

Choice B rationale:The position of the client, “sitting up in a chair,” is clearly documented and does not need further clarification.

Choice C rationale:The unit of measurement, “mm Hg,” is the standard unit for blood pressure and is correctly documented.

Choice D rationale:The location of the blood pressure cuff is not specified in the documentation. It is important to document whether the blood pressure was taken on the left or right arm, or another location, to ensure accuracy and consistency in future measurements.

A. Hyperlipidemia. B. Diabetes mellitus. C. Medication history. D. Cholesterol level. E. Prealbumin level.

Correct Answer is ["A","B","C","E"]

Explanation

Choice A rationale:
Hyperlipidemia is a condition characterized by elevated levels of lipids (cholesterol and triglycerides) in the blood. High lipid levels are associated with atherosclerosis and impaired blood flow, which can hinder wound healing. Therefore, having hyperlipidemia places the client at risk for delayed wound healing.
Choice B rationale:
Diabetes mellitus is a chronic condition that can lead to impaired wound healing. High blood sugar levels in diabetes can damage blood vessels and nerves, reducing blood flow to wounds and impairing the body's ability to fight infection. Therefore, diabetes mellitus places the client at risk for delayed wound healing.
Choice C rationale:
The medication history is a crucial factor to consider in wound healing. Prednisolone, a corticosteroid, can suppress the immune system and impair the body's ability to heal wounds. Long-term use of prednisolone, as in this case (20 mg/day for the past 2 years), increases the risk of delayed wound healing. Therefore, the medication history places the client at risk for delayed wound healing.
Choice D rationale:
The cholesterol level, in this context, is less relevant to the immediate risk of delayed wound healing. While high cholesterol levels are a risk factor for atherosclerosis and cardiovascular diseases, they do not have a direct impact on wound healing. The other choices (A, B, and C) are more directly related to delayed wound healing in the context of this surgical patient.
Choice E rationale:
Prealbumin is a protein that reflects a person's nutritional status. A low prealbumin level indicates malnutrition or inadequate protein intake, which can hinder wound healing. Therefore, a low prealbumin level places the client at risk for delayed wound healing. Now, let's move on to the last question.

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A nurse is caring for a client who is at the end of life.Which of the following interventions is most effective in reducing the client's social isolation?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the documentation of a client's blood pressure by a newly licensed nurse. The documentation states, "Blood pressure 102/58 mm Hg, client sitting up in a chair.”. Which of the following information should the nurse clarify?

Correct Answer is D

Explanation

A nurse is caring for a client who is scheduled for surgery. Which of the following findings places the client at risk for delayed wound healing? Select all that apply.

Correct Answer is ["A","B","C","E"]

Explanation

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A nurse is caring for a client who is at the end of life.
Which of the following interventions is most effective in reducing the client's social isolation?