PN Adult Medical Surgical Nursing Edition 8.0 Unit 1 & 2 (Guaranteed Pass!)

A nurse in a provider's office is collecting data from an older adult client who has a long history of rheumatoid arthritis and reports that she has morning stiffness and pain upon movement. Which of the following data collected from the client is a modifiable variable? The client A. is overweight. B. is female. C. experienced onset of the disorder at age 46. d. has a family history of the disorder. correct answers A. is overweight A modifiable variable is one that can be changed. The client can lose weight; therefore this is a modifiable variable. Rheumatoid arthritis is more common in females and there is a genetic predisposition to the disorder. These are nonmodifiable variables. The onset of the disorder is often during middle adulthood and this is also a nonmodifiable variable. A nurse in a community clinic has been asked to take clients' vital sign and mark their level of wellness on a health-wellness-illness continuum tool prior to being seen by the provider. Which of the following clients should be placed at the center of the continuum? A. A young adult client with influenza-like symptoms B. A woman who is pregnant and has a urinary tract infection C. An older adult who is newly diagnosed with diabetes mellitus D. An older adult with a long history of well-controlled rheumatoid arthritis correct answers D. An older adult with a long history of well-controlled rheumatoid arthritis The center of the health, wellness, and illness continuum is the client's normal state of health, which is assessed in comparison to the norm for that client. While the older adult client who has rheumatoid arthritis ahs a chronic illness, this is considered the client's "new normal" since it is well controlled, and the client's level of wellness can be placed at the center of the continuum. The nurse is caring for a middle-aged woman diagnosed with terminal breast cancer. While the client's family frequently visits the client, the oldest daughter sleeps at the hospital and provides much of the client's personal care. The nurse should take which of the following actions with the daughter? A. Request the daughter allow the staff to provide the client's personal care. B. Ensure the daughter gets enough rest, fluids, and nutrition. C. Tell the daughter that visitors are not allowed to stay at night. D. Ask the daughter if she would like to hire a sitter for her mother. correct answers B. Ensure the daughter gets enough rest, fluids, and nutrition. The nurse should recognize that the client's daughter has assumed the role of caregiver for the family. The daughter should be supported in here efforts to provide comfort care for her mother.