A nurse is assessing the impact of stressors on a family. Which of the following should indicate to the nurse there has been a change in family system?
A young adult develops a close, personal relationship.
A young adult focuses on their career.
A middle adult assumes their parent's responsibilities.
A middle adult experiences physical changes.
The Correct Answer is C
A. Developing close personal relationships is a common aspect of adult life and may not necessarily indicate a change in the family system.
B. Focusing on a career is a common aspect of adult life and may not necessarily indicate a change in the family system.
C. Assuming the responsibilities of a parent can indicate a shift in family dynamics, such as when a child becomes a caregiver for an aging parent.
D. Experiencing physical changes is a normal part of aging but may not necessarily indicate a change in the family system.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Dependent edema, especially in the lower extremities, is a classic sign of fluid volume excess in clients with cirrhosis.
B. Increased serum sodium levels are typically associated with dehydration or fluid volume deficit, not fluid volume excess.
C. A thready pulse is not specific to fluid volume excess and can occur in various conditions affecting cardiac output.
D. Increased thirst is more commonly associated with fluid volume deficit, not excess.
Correct Answer is D
Explanation
A. Percussion between the iliac crest and ribs at the midaxillary line is not typically used to assess for flank tenderness related to pyelonephritis.
B. Pushing fingers upward into the two lowest intercostal spaces is not a standard method for assessing flank tenderness and may not accurately assess the kidneys.
C. Palpating along both sides of the lumbar vertebral column may not specifically target the area of the kidneys and may not accurately assess flank tenderness.
D. Striking a flat hand covering the costovertebral angle (CVA) elicits pain or tenderness in individuals with pyelonephritis due to inflammation of the kidneys. This maneuver is a classic method for assessing flank tenderness associated with renal pathology.
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