A client with a diagnosis of vascular dementia is unable to ...

[Mr.Thesaxman]

A client with a diagnosis of vascular dementia is unable to communicate clearly because of his cognitive deficit. The client has developed influenza with extensive respiratory involvement.
 
  What sign of inadequate oxygenation should the nurse at the facility where the client resides assess for? A) Flushed skin
  B) Uncharacteristic restlessness
  C) Wincing, grimacing, or guarding
  D) Decreased respiratory rate

Question 2

The patient was admitted to the hospital with advanced-stage cancer. As the nurse was admitting her, the patient told her about how her little dog learned a new trick, and could play dead when she said bang-bang.
 
  Why did the nurse listen attentively to the patient's story?
  a. She knew it was easy to do and she had nothing else to do at that time.
  b. It was little more than two people talking back and forth.
  c. She knew it was probably not going to affect the patient-nurse relationship.
  d. She knew it was a way to know and respond to what matters to the patient.

[Jmfn03]

Answer to Question 1

B
Feedback:
Restlessness can be a sign of inadequate oxygenation. Pallor and increased respirations also accompany the problem, not flushed skin and decreased respiratory rate. Impaired oxygenation does not normally result in wincing, grimacing, or guarding.

Answer to Question 2

D
True listening leads to knowing and responding to what really matters to a patient and family. Learning to listen to a patient is sometimes difficult. It is easy to become distracted by tasks at hand, colleagues shouting instructions, or other patients waiting to have their needs met. Caring is an interpersonal interaction that is much more than two persons simply talking back and forth. In a caring relationship a nurse establishes trust, opens lines of communication, and listens to what a patient has to say. Listening to the meaning of what a patient says creates a mutual relationship.

[Mr.Thesaxman]

Both answers were spot on, thank you once again

[Jmfn03]

Great! Please up vote