Venous stasis ulcer - a primary goal int he clients plan of care is to decrease swelling in the extremities.
what action should the RN take to meet this
... [Show More] goal? Correct Answer-1. elevate legs on pillows
Older male client returns to the hospital are discharge 4 days ago for a transurethral resection of the
prostate (TURP) - you evaluate the 3 way indwelling urinary catheter and the irrigation system? what
should you report? Correct Answer-e. the tubing that drains the urinary bladder has bright red urine
with clots
Older clients are at highest risk for abuse and neglect due to which factors? (Select all that apply.)
A. Needs are greater than the caretaker's abilities
B. Client's declining strength
C. Fixed income
D. Longer life expectancy
E. Lack of exposure to technology and trends Correct Answer-a. Needs are greater than the caretaker's
abilities
B. Client's declining strength
osteoporosis increases the risk for a hip fracture in older adults, women are more likely to have OA.
Which ethinic group have the highest risk Correct Answer-1. Caucasian
2. asian
3. hispanic
4, African American
observing the skin of an older client. which finding should the RN document as normal Correct Answer-a.
decreased elasticity
Focused assessment of an older client with end stage Alzheimer's disease who recently fractured her
hip. What technique should be used to determine pain? Correct Answer-observe for facial grimacing
an older male client with Parkinson's disease is discharged home with sinemet and instructors for his
wife for care. which statement means the wife understands her husbands need? Correct Answer-b. i will
notify yhe healthcare provider if my husband has increasing involuntary movements of his extremities
after 10 day antibiotics that did not work a client with COPD is admitted with pneumonia. what finding
should be reported? Correct Answer-b. crackles and SPo2 of 88%
a frail elderly client is admitted to the unit with a diagnosis of pneumonia. which finding is most
important for the rn to report. Correct Answer-confusion and dehydration
a 64 year old client is admitted to the hospital with a fractured right hip. one of the concerns following
surgical repair is to promote dorsiflexion which intervention should be implemented? Correct Answer-d.
provide a foot board
a new client is admitted who is experiencing short term memory loss and confusion which activity
should the rn schedule the client to do during the day? Correct Answer-d. daily exercise groups
older females taking hydrocodone/ acetaminophen q4 hours for chronic bac pain for 5 years and tells
the nurse she cannot live without her pain pills. when ask if she is addicted she states she is not an
addict bc she was prescribed these pills. which coping mechanism should the rn determine the client is
using about her addiction? Correct Answer-b. rationalization to support narcotic use
older client who returns to the unit after surgery for closed angle glaucoma. which intervention in the
plan of care should be brought to attention? Correct Answer-c. administer morphine 4 mg IM q 2 hours
prn pain
The rn is reinforcing instructions to the family about how to prevent pressure ulcers for their older
family member who is bedridden. which measure should the RN discuss? Correct Answer-a. lift the
client when turning instead of sliding
an older client is transferred to a telemetry unit after placement of a pacemaker. which action should be
taken first Correct Answer-c. establish telemetry monitoring
The rn discharge intructions to the family of an older client with failure to thrive. what information
should the rn include to promote nutritional intake for the client? Correct Answer-a. minimize stress
levels by providing cient with quiet environment during meals [Show Less]