Exhibits
Select from statement options to complete the sentence.
To assess outcomes, the nurse should consider information reported by the client and caregiver and focus on evaluating the client's
The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"C"}
Quality of life: This involves evaluating how the client's overall well-being has changed with the new interventions. It includes assessing the client's comfort, satisfaction, and ability to engage in meaningful activities.
Functional improvement: This includes monitoring the client's progress in physical and occupational therapy, as well as their ability to perform activities of daily living (ADLs) independently or with less assistance.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","E","G"]
Explanation
Chest pain described as pressure and tightness that is unrelieved with rest: Chest pain that is described as tightness and pressure, particularly when unrelieved by rest, is a classic presentation of acute coronary syndrome (ACS), which includes conditions such as unstable angina or myocardial infarction (MI). This is a red flag symptom, as it indicates a need for immediate medical attention to rule out life-threatening conditions like MI, which can be fatal without timely intervention.
Rapid shallow breaths: Rapid and shallow breathing can be a response to acute pain, particularly in a situation involving cardiovascular stress. It may be indicative of the body's attempt to compensate for inadequate oxygenation due to cardiac ischemia, hypoxia, or anxiety.
Pain 7/10, tightness and pressure in the chest: A pain rating of 7/10 demands immediate evaluation and management, as it could indicate an evolving cardiovascular event. Moreover, tightness and pressure are specific descriptors of pain seen in ischemic heart disease, where there is reduced blood flow to the heart muscle, leading to discomfort due to oxygen deprivation.
Correct Answer is B
Explanation
A. The fall at home is part of the background information, but the immediate concern is the client’s changing mental status.
B. The sudden onset of increasing confusion and agitation could indicate a serious complication, such as delirium, infection, or a neurological issue. This is the priority to report to the healthcare provider.
C. While medication history is important, it is not as urgent as addressing the client’s current confusion.
D. The healthcare power of attorney is relevant for decision-making but not the first information needed in this urgent situation.
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