Which of the following is the MOST common cause of aortic dissection is:
Poorly controlled hypertension is the most common cause of aortic dissection. Hypertension increases the pressure within the aorta, leading to damage to the aortic wall and making it more susceptible to tearing. Diabetes, liver disease, and kidney disease can contribute to cardiovascular problems, but they are not the primary causes of aortic dissection. Managing blood pressure is critical in preventing this life-threatening condition.
Which of the following is the appropriate nursing action in the termination phase of the home visit?
In the termination phase of a home visit, the appropriate nursing action is to review important teaching topics discussed during the visit. This ensures that the family understands the care instructions and can ask any final questions. Validating the health history and documenting the care provided are important but are typically part of the initial or ongoing phases of the visit. Determining readiness for future visits is also important but is secondary to ensuring the family understands the teaching provided.
During a discharge planning of an educated 79-year-old woman, the patient expresses concern to the nurse about how she will remember taking the medications recently prescribed.
What is the BEST intervention that can be incorporated by the nurse in the discharge plan?
The best intervention for helping an educated 79-year-old woman remember to take her medications is to provide a weekly pill box and develop a written medication schedule. This approach empowers the patient to manage her medications independently, reducing the risk of non-compliance. Asking a family member to administer medications or referring the patient to a care home might not be necessary if the patient can manage with simple tools. Consulting the physician to reduce or combine medications is an option but does not address the immediate need for a practical solution to medication management.
The nurse understands that caring for a woman with gestational diabetic complications is exhibited as an example of.
Caring for a woman with gestational diabetes complications falls under health restoration. Health restoration involves actions taken to return a patient to their previous state of health or to manage chronic conditions. This includes managing and treating complications to improve health outcomes. Health promotion focuses on preventing health problems through lifestyle changes, health maintenance involves ongoing monitoring and prevention of deterioration, and health rehabilitation focuses on helping patients recover functionality after severe illness or injury.
A nurse is examining a 24-month-old child with hydrocephalus for the development of later signs of hydrocephalus.
Which of the following signs the nurse would find?
In a 24-month-old child with hydrocephalus, later signs of the condition include frontal bossing, which is the prominent, protruding forehead caused by the enlargement of the frontal bone. This is a characteristic feature of chronic hydrocephalus. Bulging fontanels, separated sutures, and dilated scalp veins are typically earlier signs of hydrocephalus seen in younger infants before the cranial sutures close. As the child ages, frontal bossing becomes more apparent due to prolonged intracranial pressure.
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