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 B

Explanation

Rationale:

A. Apply a sequential compression device: A sequential compression device (SCD) is used to prevent deep vein thrombosis (DVT), not foot drop. It does not provide the necessary support for preventing foot drop, which results from muscle weakness or paralysis after a CVA.

B. Use padded splints: Padded splints help maintain the foot in a neutral position, which is essential in preventing foot drop. Foot drop occurs due to weakness of the dorsiflexor muscles, and splints can prevent the foot from falling into an abnormal position, reducing the risk of deformities.

C. Elevate the extremity above the heart: Elevating the extremity above the heart is typically done to reduce edema, not to prevent foot drop. While elevating the limb can help with swelling, it does not address the muscle weakness that causes foot drop in post-CVA patients.

D. Reposition the client every 2 hr: Repositioning the client every 2 hours is important for preventing pressure ulcers and promoting circulation. However, it is does not prevent foot drop, which requires targeted interventions such as splints or exercises to maintain proper foot positioning.

A. A B. B C. C D. D

Correct Answer is C

Explanation

Rationale:

A. Ventricular Tachycardia (VTach): Regular, very fast rhythm (150–250 bpm), Wide QRS complexes, No visible P waves. Interpretation: Life-threatening rhythm, not expected after pacemaker. Immediate intervention is needed.

B. Atrial Fibrillation (AFib): Irregularly irregular rhythm, No distinct P waves, Narrow QRS complexes. AFib can exist with or without a pacemaker, but not expected immediately post-insertion unless patient has pre-existing AFib.

C. Rhythm: Ventricular paced rhythm (normal post-pacemaker). Regular rhythm -60 bpm, Narrow QRS complexes following sharp pacing spikes, Pacing spikes appear just before QRS complexes. Expected ECG after permanent pacemaker insertion — it shows effective ventricular capture.

D. Irregular rhythm, Alternating normal and wide QRS complexes, Wide QRS possibly not preceded by pacing spike, not expected right after pacemaker insertion. Suggests poor pacer function or ventricular ectopy.

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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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