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? - ANS1. 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? - ANSe. 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 - ANSa. 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 - ANS1. Caucasian
2. asian
3. hispanic
4, African American
observing the skin of an older client. which finding should the RN document as normal - ANSa. 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? - ANSobserve 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? - ANSb. 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? - ANSb. 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. - ANSconfusion 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? - ANSd. 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? - ANSd. 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? - ANSb. 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? - ANSc. 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? - ANSa. 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 - ANSc. 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? - ANSa. minimize stress levels by providing cient with quiet environment during meals
b. provide food variations that the client can manage without assisstance
An older male client arrives at the clinic for an annual physical examination. the client states he is having intimacy problems with his wife which information should the nurse provide to elicit more info from the client? - ANSa. query client to clarify the clients idea of an intimacy problem
the rn visits an older female client with na ileal conduit who has been having chronic UTIs. which intervention should be recommended to the client to manage this. - ANSc. attach a larger drainage bag while sleeping
an older male client asks the rn how he can reduce his incidents of haemorrhoid flare ups. which informations should the rn offer the client about how to prevent rectal discomfort? - ANS- increase fiber and liquids
- use a cuhsion for periods of prolonged sitting [Show Less]