A nurse is perceiving and experiencing high stress levels at work on a consistent basis due to inadequate staffing and high client acuity levels. Thi ongoing physiological stress response from her endocrine system places her at increased risk for which of the following disorders? (Select all that apply.) Eczema Influenza Rheumatoid arthritis Cancer V Bfonchial asthma
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- Stress What measures does the patient use to reduce stress? If the patient wants to continuea meditation, relaxation, or imagery practice while receiving care, explore ways inwhich that can be accomplished. Music/sound preferences What preferences does the patient have for music or environmental sounds (e.g.,ocean waves, birds) either while meditating or relaxing? Music could be providedby the patient if preferred music is not available. Diet What dietary preferences does the patient have (e.g., vegetarian, no processed foods)? Communicate these preferences to nutritional services. Environmental sensitivity Is the patient sensitive to environmental odors or fragrances? If so, can an air purifier be brought to the room? Use of herbs and supplements Is the patient taking any herbs or supplements as directed by a CAT practitioner or purchased over the counter? If so, obtain the names of the herbs/supplements, dos-ages, and reasons for their use. If these substances are in the patient’s…You start your shift today and the in-charge nurse lets you know that you will be working short-staffed. The following clients have now been assigned to your workload. In what order will you care for these clients? Provide a rationale (reason) for each. Client A: suffered a stroke with right-sided hemiplegia, this client also has aphasia. She prefers to get up quite early. She is a 2pa but can do some care with minimal assistance. Client B: suffers from moderate dementia. He is a fall risk and needs regular supervision as he does not stay when seated. He is completely ambulatory but needs cueing and assistance for care. Client C: is a mechanical lift with significant contractures. He requires full care including needing to be fed. He sits in a reclining wheelchair for the whole day and requires regular toileting due to bowel and bladder incontinence. Client D: This client has MS. She requires the use of a mechanical lift. She is in full care. Once in her power wheelchair she leaves the…A nurse is caring for a client who reports a state of increasing anxiety and the inability to sleep and concentrate. Which of the following is an appropriate response by the nurse?Everyone has trouble sleeping at times.Have you talked to your provider about this yet?Why do you think you are so anxious?It sounds like you're having a difficult time.
- A nursing student is nervous and concerned about the workshe is about to do at the clinical facility. To allay anxiety andbe successful in her provision of care, it is most important forher to:a. Determine the established goals of the institutionb. Be sure her verbal and nonverbal communication iscongruentc. Engage in self-talk to plan her day and decrease her feard. Speak with her fellow colleagues about how they feelCompare and contrast the care of a client with hyperthyroidism (Grave’s disease). Ember is an 11-year-old girl who recently developed restlessness and tremors after a viral illness. Anna is a 31-year-old woman who reports weight loss, restlessness, and increased perspiration. Karen is a 67-year-old woman with recent visual changes, new-onset atrial fibrillation, and weakness. Please include assessments (including diagnostic testing), care measures (including medications), and teaching needed for each client.The client is a 65-year-old individual with a history of opioid drug abuse, alcoholism, and diabetes and developed an infection in his lower right leg resulting in amputation below the knee. The client is 24-hours postoperative and requesting pain medication. The previous nurse reported that, during shift-to-shift handoff, the client had been reporting little pain and therefore received acetaminophen for pain management. The client reports to you severe pain that has not been relieved since the day of the surgery and is requesting opioid pain medication. The nurse assesses the pain and finds the client is reluctant to move in bed, refuses to sit on the edge of the bed due to the pain, and reports 10/10 on the numeric pain scale. As the nurse assesses the surgical area, the client grimaces. The surgical dressing is intact with mild swelling of the extremity and a scant amount of bright red drainage visible on the dressing. The nurse encourages nonpharmacologic pain medication, such as…
- Laura Lee is a CMA (AAMA) certified medical assistant working at a family practice. Today, she was assigned to answer the phone. One of the calls comes from a 32-year-old patient who states the doctor saw her three months ago and prescribed zolpidem, a medication for insomnia. The patient would like to obtain a refill for the medication even though she does not have an appointment scheduled. What should Laura do?While you are working as an RN in an outpatient medication clinic, a client comes to an appointment for renewal of his blood pressure, thyroid, and diabetic medications. He has a history of alcohol and opioid abuse. As the patient enters, you notice that he is unshaven, unkempt, and appears agitated, talking loudly and fast and gesturing widely. His gait is ataxic and staggering. He carries with him a bottle of soda, which he occasionally drinks from. As you approach the client to obtain his vital signs, a strong smell of alcohol engulfs you. When you ask the client if he has been drinking, he admits that he has been; furthermore, he confesses that the soda bottle contains alcohol. As you explain to the client that alcohol is not permitted on the clinic premises and ask the client to leave, he loudly tells you that he cannot possibly go because he is completely out of his medications and needs to obtain his prescription refills today. Repeatedly, you reinforce that alcohol is not…While you are working as an RN in an outpatient medication clinic, a client comes to an appointment for renewal of his blood pressure, thyroid, and diabetic medications. He has a history of alcohol and opioid abuse. As the patient enters, you notice that he is unshaven, unkempt, and appears agitated, talking loudly and fast and gesturing widely. His gait is ataxic and staggering. He carries with him a bottle of soda, which he occasionally drinks from. As you approach the client to obtain his vital signs, a strong smell of alcohol engulfs you. When you ask the client if he has been drinking, he admits that he has been; furthermore, he confesses that the soda bottle contains alcohol. As you explain to the client that alcohol is not permitted on the clinic premises and ask the client to leave, he loudly tells you that he cannot possibly go because he is completely out of his medications and needs to obtain his prescription refills today. Repeatedly, you reinforce that alcohol is not…
- Develop an awareness and understanding of the issues efecting proffesional practice in gerontology today. Understanding of the issues effecting proffesional practice: this section explores how proffesional practice in yur selected area of interest has changed due to the development of new treatments. Physical Disease: ArthritisA patient controlled analgesia (PCA) is set up for a postoperative client after knee surgery. The client does not want to take the medication even though he can no longer bear the pain. He state he is not use to taking pain medication. How might the nurse explain the benefit of a preventative pain approach by using the PCA? How do analgesics work to generally provide pain relief? What are the three classes of analgesics?A nurse witnesses a street robbery and is assessing a 26-year-old female patient who is the victim. The patient has minor scrapes and bruises and tells the nurse, “I’ve never been soscared in my life.” What other symptoms would the nurseexpect to find related to the fight-or-flight response to stress?Select all that apply.a. Increased heart rateb. Decreased muscle strengthc. Increased mental alertnessd. Increased blood glucose levelse. Decreased cardiac outputf. Decreased peristalsis