Author Question: The visiting nurse is talking to the wife of a client. She reports experiencing sleep difficulties ... (Read 52 times)

rlane42 · **on:** Jul 22, 2018

The visiting nurse is talking to the wife of a client. She reports experiencing sleep difficulties recently. The nurse identifies the client's wife as developing:

1. Caregiver burden.
2. Self-esteem reaction to stress.
3. Depression.
4. Displacement.

Question 2

The nurse is caring for a client diagnosed with respiratory acidosis, and directs the plan of care to provide which of these priority interventions?

1. Increase fluid intake.
2. Have the client breathe into a paper bag.
3. Administer oxygen.
4. Encourage the client to take deep breaths.

jomama · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

1
Rationale: Family members who undertake the care of a person in the home for a long period develop long-term stress called caregiver burden, with responses such as chronic fatigue, sleep difficulties, and high blood pressure.

Answer to Question 2

4
Rationale: Respiratory acidosis is caused by inadequate gas exchange, and would best be treated by having the client take deeper breaths to blow off excess carbon dioxide. Oxygen will increase pO2 levels but will not reduce carbon dioxide levels. Increased fluid intake would be appropriate for metabolic acidosis, but will have no affect on respiratory acidosis. A paper bag would be helpful to reverse respiratory alkalosis but will worsen respiratory acidosis.