The nurse is performing an initial assessment on an alcoholic patient. Which of the following actions by the nurse would best ensure honest answers?

Having a nonjudgmental attitude

Promising the patient not to tell anyone

Not asking personal questions

Including the family

Answer and Explanation

The Correct Answer is A

A. Having a nonjudgmental attitude: A nonjudgmental attitude fosters trust and openness, encouraging the patient to provide honest answers.
B. Promising the patient not to tell anyone: This may be unethical and impractical as certain information may need to be shared for the patient's care.
C. Not asking personal questions: Personal questions are necessary to understand the patient's condition and provide appropriate care.
D. Including the family: Including the family might inhibit the patient's honesty due to fear of judgment or privacy concerns.

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Correct Answer is C

Explanation

A. A resident with dementia who requires assistance eating: While this resident might have complications due to a weakened immune system, chemotherapy significantly increases the risk of complications from herpes zoster.

B. A resident who is sexually active: Sexual activity does not increase the risk of complications from herpes zoster.

C. A resident who is undergoing chemotherapy for breast cancer: Chemotherapy significantly compromises the immune system, making the resident more susceptible to severe complications from herpes zoster.

D. A resident recovering from a hip fracture: While recovering from a hip fracture is a stressor, it does not have as significant an impact on the immune system as chemotherapy.

A. Osteomyelitis B. Osteoporosis C. Kyphosis D. Arthritis

Correct Answer is C

Explanation

A. Osteomyelitis: Osteomyelitis is an infection of the bone and does not directly impact the skeletal changes affecting lung function.

B. Osteoporosis: While osteoporosis affects bone density and may cause fractures, it is not specifically linked to changes in lung function related to skeletal changes.

C. Kyphosis: Kyphosis, or excessive curvature of the thoracic spine, can compress the thoracic cavity and reduce lung expansion, which impacts effective air exchange in COPD patients.

D. Arthritis: Arthritis affects joint function but does not have a direct impact on the skeletal changes that alter lung function like kyphosis does.

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The nurse is performing an initial assessment on an alcoholic patient. Which of the following actions by the nurse would best ensure honest answers?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Several residents in a long term care facility have been diagnosed with herpes zoster. Which resident will require the closest observation for development of complications?

Correct Answer is C

Explanation

The nurse recognizes that an older adult patient with COPD has a higher incidence of developing which age-related skeletal change that will alter the ability to exchange air effectively?

Correct Answer is C

Explanation

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