FUNDAMENTALS EXAM #4 ATI Questions & Answers-I nursing student is caring for a 78-year-old patient with multiple sclerosis. The patient has had an
... [Show More] indwelling Foley catheter in for three days. Eight hours ago the patient's temperature was 37.1°C. This your reports her recent assessment to the registered nurse the patient's temperature is 37.2 degrees Celsius the Foley catheter is still in place draining dark urine in the patient is uncertain what time of day it is. From what the RN knows about presentation of symptoms and order adults what should he recommend first?
1. Tell the student that temporary confusion is normal and simply requires re-orientation
2. Tell the student to increase the patient's fluid intake since the urine is concentrated
3. Tell the student that her assessment findings are normal for an older adult
4. Tell the student that he will notify the patient healthcare provider of the findings and recommend a urine culture - 4. Tell the student that he will notify the patient healthcare provider of the findings and recommend a urnie culture
A patient's family member is considering having her mother placed in nursing center. The nurse has talked with the family before and knows that this is a difficult decision. Which of the following criteria does the nurse recommend in choosing a nursing center? Select all that apply
1. The center needs to be clean and room should look like a hospital room
2. Adequate staffing is available on all shifts
3. Social activities are available for all residents
4. The center provides three meals daily with a set menu and serving schedule
5. Staff encourage family involvement in care planning and assisting with physical care - 2. Adequate staffing is available on all shifts
3. Social activities are available for all residents
5. Staff encourage family involvement in care planning in assisting with physical care
A nurse conduct an assessment of a new patient who came to the medical clinic. The patient is 82 years old and has had osteoarthritis for 10 years and diabetes for 20 years. He is alert but becomes easily distracted during assessment. He recently moved to a new apartment in his pet beagle die just two months ago. He is most likely experiencing:
1. Dementia
2. Depression
3. Delirium
4. Hypoglycemic reaction - 2. Depression
The nurse is completing a health history with the daughter of a newly admitted patient who is confused and agitated. The daughter reports that her mother was diagnosed with Alzheimer's disease one year ago but became extremely confused last evening and was hallucinating. She was unable to calm her and her mother thought she was a stranger. On the basis of this history the nurse expect that the patient is experiencing:
1. Delirium
2. Depression
3. New onset dementia
4. Worsening dementia - 1. Delirium
Sexuality is maintained throughout our lives. Which of the following answers best explains sexuality in an older adult? [Show Less]