EAQ Functional Ability

A licensed practical nurse (LPN) is learning about delirium tremens (DTs), an alcoholism-associated disorder that occurs as a complication of alcohol withdrawal. Which statement made by the LPN indicates effective understanding?

"It is characterized by shaking, an increase in activity, disorientation, hallucinations, and increased temperature."

An 80-year-old female is admitted to the hospital because of complications associated with severe dehydration. The client's daughter asks the nurse how her mother could have become dehydrated because she is alert and able to care for herself. What is the nurse's best response?

"The thirst reflex diminishes with age, and therefore the recognition of the need for fluid is decreased."

Which disorders are complications associated with alcoholism? Select all that apply.

*Delirium tremens *Korsakoff psychosis *Wernicke encephalopathy

A healthcare provider determines that a client has myasthenia gravis. Which clinical findings does the nurse expect when completing a health history and physical assessment? Select all that apply.

*Double vision *Difficulty swallowing saliva *Drooping of the upper eyelids

A nurse is collecting data on a client with Parkinson disease. Which findings support this diagnosis? Select all that apply.

*Nonintention tremors *Masklike facial expression *Low-pitched monotonous voice

Which complications may develop in a chronic cocaine user who snorts the drug? Select all that apply.

*Rhinitis *Sinusitis

What clinical manifestation best indicates to the nurse that the mental status of a client with the diagnosis of schizophrenia, paranoid type, is improving?

Ability to function effectively in activities of daily living

A nurse is taking the health history of a client who is to have surgery in one week. The nurse identifies that the client is taking ibuprofen for discomfort associated with osteoarthritis and notifies the health care provider. Which drug does the nurse expect will most likely be prescribed instead of the ibuprofenl?

Acetaminophen

After becoming incontinent of urine, an older client is admitted to a nursing home. The client's rheumatoid arthritis contributes to severely painful joints. The primary consideration in the care of this client is the need for what?

Control of pain

A client has a tonic-clonic seizure that involves all extremities. The nurse anticipates that the health care provider will prescribe the intravenous administration of what?

Diazepam

When assessing a client, the nurse identifies that the client has weakness of some of the muscles of the body. What should the nurse document in the medical record when describing weakness in the area indicated in the shaded portion of the illustration?

Hemiparesis

The nurse is caring for a client who has a tumor of the cerebellum. What is the client most likely to exhibit?

Inability to execute smooth movements

Shortly after birth a newborn is found to have Erb's palsy. What condition does the nurse suspect caused this problem?

Injury to brachial plexus during birth

A nurse is supportive of a child receiving long-term rehabilitation in the home rather than in a health care facility. Why is living with the family so important to a child's emotional development?

It is primarily where the child's identity and roles are learned.

A client had a right above-the-knee amputation secondary to trauma sustained in a motor vehicle accident. Six days after surgery, the client falls while attempting to transfer to a chair unassisted. The nurse concludes that this fall is most likely the result of what?

Loss of balance

During an interview a 32-year-old man describes symptoms of decreased appetite, insomnia, anhedonia, and feelings of worthlessness that have been present for the past few weeks. He reports having had a few episodes of feeling depressed in the past but says that the feelings subsided. Recently he has felt worse, and he is now concerned that his symptoms are negatively affecting his job performance and fears he may lose his job "if someone doesn't help me soon." The nurse suspects these symptoms are related to which disorder?

Major depressive disorder

A nurse is caring for an older bedridden male client who is incontinent of urine. Which action should the nurse take first?

Offer the urinal regularly.

A client who is a carpenter reports increasing difficulty holding the tools needed to perform the carpentry skills. Assessment findings reveal carpel tunnel syndrome. The client states, "I must return to work tomorrow. I can't get behind on my schedule." Considering the client's statements, the nurse concludes that what is the issue of most concern?

Potential for injury

What is the first activity of daily living (ADL) that the nurse should help teach a developmentally disabled 8-year-old child?

Self-feeding

A client with an acute exacerbation of rheumatoid arthritis is in severe pain and tells the nurse, "The only time I am pain free is when I lie perfectly still." What complication should the nurse explain can be prevented by exercising every day?

Shortening of the muscles

A client newly diagnosed with myasthenia gravis is concerned about fluctuations in physical condition and generalized weakness. When caring for this client it is most important for the nurse to plan to do what?

Space activities throughout the day

An older client experiences a cerebral vascular accident (CVA) and has right-sided hemiplegia and expressive aphasia. The client's children ask the nurse which functions will be impaired. The nurse explains that the abilities that will be affected include what?

Stating wishes verbally

A client is admitted to the mental health clinic for treatment of an obsessive-compulsive disorder that impairs ability to work outside the home. What should the nurse consider about the client's behavior when developing a plan of care?

The client knows that the behavior is illogical but is unable to stop it.

An older adult client who is confused and often does not recognize family members is admitted to a nursing home. The client appears slovenly, often soiling clothing with feces and urine. How can the nurse best manage this problem?

Toileting the client every 2 hours

Which alcoholism-associated disorder causes damage to the client's temporal lobes of the brain?

Wernicke encephalopathy