A nurse is caring for a client who is the caregiver for a relative who has a chronic disease. Which of the following statements indicates the client is adapting to the role change?

"I have lunch with my friends once a week."

"I need to get my blood pressure medicine refilled."

"I've lost 15 pounds in the past 2 months."

"I had to reschedule my doctor's appointment last week."

Answer and Explanation

The Correct Answer is A

Rationale:

A. "I have lunch with my friends once a week." Maintaining social interactions and taking time for self-care is an indication of adapting well to the role of a caregiver. It's important to balance caregiving responsibilities with personal well-being.

B. "I need to get my blood pressure medicine refilled." This statement indicates that the client is attending to their own health needs, but it doesn't specifically reflect adaptation to the caregiver role.

C. "I've lost 15 pounds in the past 2 months." Significant weight loss could indicate stress, poor nutrition, or neglecting personal health, which suggests the client may be struggling to adapt to the caregiver role. This would need further assessment.

D. "I had to reschedule my doctor's appointment last week." Rescheduling medical appointments can sometimes happen due to caregiving demands, but it also could indicate difficulty in managing personal and caregiving responsibilities.

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

Explanation

Rationale:

A. Anticipate client to be prepped for cardiac catheterization: The client has been diagnosed with a myocardial infarction (MI) based on echocardiogram results. Cardiac catheterization is a next step to assess for blockages in coronary arteries and to guide potential interventions like angioplasty or stent placement.

B. Assist with a continuous heparin infusion: Heparin is commonly used in patients with myocardial infarction to prevent further clot formation and reduce the risk of additional thrombotic events.

C. Encourage the client to ambulate: Ambulation is not recommended during the acute phase of a myocardial infarction. The priority is to stabilize the patient and minimize physical exertion to reduce myocardial stress.

D. Anticipate an increased dosage of metoprolol: The client's 1200 vital signs show a blood pressure of 110/62 mm Hg, which is significantly lower than the 1000 and 1015 readings (164/80 and 176/82 respectively) which does not indicate the need for an increased dose.

E. Obtain a prescription for client to be NPO: The client may be prepped for a cardiac catheterization or other surgical procedures, which generally require the client to be NPO to reduce the risk of aspiration.

F. Request a prescription for an antibiotic: There is no indication of an infection requiring antibiotics. Antibiotics would be prescribed only if there is a clear indication of infection.

A. Increased heart rate B. Generalized abdominal pain C. Cloudy effluent D. Fever

Correct Answer is C

Explanation

Rationale:

A. Increased heart rate: Increased heart rate can be a general sign of infection or discomfort, but it is not the earliest indication of peritonitis in peritoneal dialysis. Other symptoms like cloudy effluent typically present earlier.

B. Generalized abdominal pain: While abdominal pain can be a sign of peritonitis, it typically appears after other signs like cloudy effluent, so it is not usually the earliest indicator.

C. Cloudy effluent: Cloudy effluent is the earliest and most indicative sign of peritonitis in peritoneal dialysis. This is due to the presence of white blood cells and bacteria in the peritoneal fluid, which is a hallmark of infection.

D. Fever: Fever is a later symptom of peritonitis. It typically occurs after the infection has progressed and is not the earliest sign to monitor for in the context of peritoneal dialysis.

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A nurse is caring for a client who is the caregiver for a relative who has a chronic disease. Which of the following statements indicates the client is adapting to the role change?

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Naxlex Comprehensive Predictor Exams

The nurse is reviewing the client's medical record. Exhibits A nurse is reviewing the client's diagnostic results and vital signs. Which of the following actions should the nurse take? Select all that apply.

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

Explanation

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Correct Answer is C

Explanation

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