which is the most important health assessment focus for older adult hood?
Cancer screening with annual health examinations. Seeking information about
consistent use of seatbelts.
Screening for eating disorders.
A bone scan (DEXA test) for osteoporosis. Answer - cancer screening with
annual health examinations
The nurse has been teaching a student how to perform mouth care for her
unconscious patient. The student will show evidence of learning if the patient
is placed in which position?
Supine.
Prone.
Semi Fowler's.
Side lying. Answer - Side lying
which assessment data best supports a report of severe pain in an adult client
his baseline vital signs are within an average normal range?
Oral temperature 100 Fahrenheit (37.8 Celsius)
respiratory rate 26 breath a minute and shallow.
Apical heart rate 56 breaths a minute.
Blood pressure 124/82 mm Hg Answer - respiratory rate 26 breaths a minute
and shallow
,what would the most appropriate go for a frail, older patient with a nursing
diagnosis of risk for injury after hip surgery?
Remain free from injury or falls throughout hospital stay.
Increase activity tolerance by discharge from hospital.
Demonstrate affective breathing when ambulating. Increase in mobility by
discharge from hospital Answer - remain free from injury or falls throughout
hospital stay
which intervention by the nurse first helps to establish a trusting nurse patient
relationship? Avoiding topics that may provoke emotional responses from the
patient.
Listening to the patient while performing care activities.
Providing competent and consistent care supports the nurse patient
relationship.
Greeting the patient by name whenever entering the patient's room. Answer -
greeting the patient by name whenever entering the patient's room
which is a/are benefits of bathing? Select all that apply
constricts blood vessels.
Increases depth of respirations.
Gives opportunity for assessments.
Reduces sensory input.
Increases cardiac output Answer - increases depth of respirations
gives opportunity for assessments
A patient on bed rest because of high risk pregnancy has not had a bowel
movement in five days. What information should the nurse give the patient one
explaining constipation?
Immobility often causes constipation.
, A stool softener daily will relieve the problem.
Use of a bedpan results and bloating and constipation.
A low fiber diet will resolve the problem. Answer - immobility often causes
constipation
A nurse is interviewing a female patient who is Hispanic. The client's partner
answers the questions and states "she speaks only a little English." Which of
the following actions should the nurse take?
arrange to complete the assessment with only a client and a translator present.
Ask the clients partner to translate questions and answers for the client.
Ask the male student nurse to translate for the client.
Use an Internet website ending in ".com" to translate for the client Answer -
arrange to complete the assessment with only the client and a translator
present
The nurse must insert a nasogastric tube into a patient with a bowel
obstruction. Before inserting the tube, the nurse must explain the procedure to
the patient. Which explanation by the nurse is best, assuming that all provide
correct information?
i'm going to insert an NG tube and connect it to low Gomco to keep your
stomach empty
i'm going to insert a tube through your nose into your stomach to prevent you
from vomiting.
I'm going to insert an NG tube through your nares to suction your secretions
and prevent emesis.
Lie still, please. I need to elevate the head of the bed and insert this tube.
Answer - I am going to insert a tube through your nose into your stomach to
prevent you from vomiting
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