A nurse is collecting data from a client who has depression to identify his ability to perform activities of daily living (ADLs) prior to discharge. Which of the following data should the nurse collect? (Select all that apply.)
Ability to dress himself
Ability to identify how often he should schedule his car for an oil change
Ability to bathe himself
Ability to perform oral hygiene
Ability to balance his bank account
Correct Answer : A,C,D
Choice A reason: The ability to dress oneself is a basic ADL and is important for independence after discharge.
Choice B reason: Scheduling car maintenance is not considered a basic ADL; it is an instrumental activity of daily living (IADL), which is not typically assessed for depression-related ADLs.
Choice C reason: The ability to bathe oneself is another basic ADL that is crucial for self-care and should be assessed before discharge.
Choice D reason: Performing oral hygiene is a fundamental ADL and should be included in the assessment.
Choice E reason: Balancing a bank account is an IADL and, similar to choice B, is not typically part of the basic ADL assessment for a client with depression.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Hearing deficits are not commonly associated with digoxin toxicity. The typical symptoms involve gastrointestinal, neurological, and visual changes³.
Choice B reason: Jaundice is not a manifestation of digoxin toxicity. It is more commonly related to liver conditions³.
Choice C reason: Anorexia is a common symptom of digoxin toxicity, along with nausea, vomiting, and abdominal pain. These gastrointestinal symptoms are important indicators for nurses to monitor³.
Choice D reason: Ataxia, or lack of muscle coordination, is not a typical sign of digoxin toxicity. The primary concerns with toxicity are cardiac arrhythmias and gastrointestinal symptoms³.
Correct Answer is ["A","C","D","E"]
Explanation
Choice A reason: An exercise stress test can help diagnose coronary artery disease by measuring the heart's ability to respond to external stress in a controlled clinical environment.
Choice B reason: Troponin I is a blood test that measures the levels of troponin T or troponin I proteins in the blood. These proteins are released when the heart muscle has been damaged, such as in a heart attack, which is a common complication of coronary artery disease.
Choice C reason: Cardiac computed tomography (CT) for calcium scoring is a non-invasive way of obtaining information about the presence, location, and extent of calcified plaque in the coronary arteries.
Choice D reason: Radioisotope imaging, such as a nuclear stress test, can show how blood moves to the heart muscle at rest and during stress, helping to diagnose coronary artery disease.
Choice E reason: Angiography involves using X-rays to see your body's blood vessels. Coronary angiography is specifically used to see if your coronary arteries are blocked or narrowed, where they supply blood to your heart.
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