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A community health nurse is conducting a home visit to assess an adult client with a chronic illness. Which of the following actions should the nurse prioritize to effectively evaluate the client's management of their chronic condition?

Assess the client's ability to perform activities of daily living (ADLs) and their impact on the client's overall health.

Review the client's current medication list and check for any missed doses.

Focus on the client's most recent laboratory results and compare them to past results.

Conduct a detailed family history to identify any genetic predispositions to the chronic illness.

Answer and Explanation

The Correct Answer is A

A. Assess the client's ability to perform activities of daily living (ADLs) and their impact on the client's overall health. ADL assessment provides crucial information about how well the client is managing their chronic illness and maintaining functional independence.

B. Review the client's current medication list and check for any missed doses. While this is important, it is a secondary concern compared to assessing functional status, which has a broader impact on health outcomes.

C. Focus on the client's most recent laboratory results and compare them to past results. Lab results are valuable but do not provide a comprehensive view of how the illness affects the client's daily life.

D. Conduct a detailed family history to identify any genetic predispositions to the chronic illness. Genetic predispositions are relevant for diagnosis and prevention but do not evaluate current management of the condition.

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Correct Answer is D

Explanation

A. Taking the maximum dose will offer stroke prevention. Ibuprofen does not have stroke-preventive properties. In fact, excessive NSAID use may increase cardiovascular risks.

B. Take the medication with an aspirin to increase effectiveness. Combining ibuprofen with aspirin is not recommended as it increases the risk of gastrointestinal bleeding and does not enhance ibuprofen's effectiveness.

C. Sustained-release forms may be crushed for easier administration. Crushing sustained-release tablets alters their formulation, leading to rapid release and increased risk of side effects. Sustained-release forms should never be crushed.

D. Take the medication with food. Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that can cause gastrointestinal irritation and ulceration. Taking it with food helps minimize gastric upset.

A. Meditation is a complementary therapy that focuses on the use of medications to reduce stress. B. Integrative therapies are often used as a substitute for conventional medical treatments. C. Yoga can be considered a complementary therapy that combines physical postures, breathing exercises, and relaxation techniques. D. Complementary therapies are used alongside conventional treatments to improve overall well-being. E. Acupuncture is a type of complementary therapy that involves inserting fine needles into specific points on the body. F. Herbal supplements can interact with prescription medications, potentially leading to adverse effects.

Correct Answer is ["C","D","E","F"]

Explanation

A. "Meditation is a complementary therapy that focuses on the use of medications to reduce stress." Meditation is a mind-body practice focused on relaxation and mindfulness, not medications.

B. "Integrative therapies are often used as a substitute for conventional medical treatments." Integrative therapies complement conventional treatments, not replace them.

C. "Yoga can be considered a complementary therapy that combines physical postures, breathing exercises, and relaxation techniques." Yoga is widely recognized as a complementary therapy that promotes physical and mental well-being.

D. "Complementary therapies are used alongside conventional treatments to improve overall well-being." This describes the primary purpose of complementary therapies in healthcare.

E. "Acupuncture is a type of complementary therapy that involves inserting fine needles into specific points on the body." Acupuncture is a well-established complementary therapy in managing pain and other conditions.

F. "Herbal supplements can interact with prescription medications, potentially leading to adverse effects." This is an important consideration for client safety in complementary therapy.

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A community health nurse is conducting a home visit to assess an adult client with a chronic illness. Which of the following actions should the nurse prioritize to effectively evaluate the client's management of their chronic condition?

Nursing Test Bank

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Correct Answer is D

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Correct Answer is ["C","D","E","F"]

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