A resident with dementia urinates in plants and the trash can. You can do which of the follow-ing?
a. Ask the person to signal you when she needs to void.
b. Observe for signs that the person needs to void.
c. Insert an indwelling catheter.
d. Ask the resident to tell you when she is incontinent.
B
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What type of development is the nurse assessing when an infant can lift his or her head before he or she can sit?
a. Specific to general b. Proximodistal c. Cephalocaudal d. General to specific
The nurse is caring for a patient who is mechanically ventilated. As part of the nursing care, the nurse understands that:
a. communication with intubated patients is often difficult. b. controlled ventilation is the preferred mode for most patients. c. patients with chronic obstructive pulmonary disease wean easily from mechanical ventilation. d. wrist restraints are applied to all patients to avoid self-extubation.
The nurse teaches the client about eating a soft diet at home. After teaching, the nurse asks the client for an example of a suitable food on a soft diet. Which client choice does the nurse accept as suitable for a soft diet?
1. Hot oatmeal with low-fat milk 2. Tomato stuffed with tuna salad 3. Beef, barley, and vegetable stew 4. Thin spaghetti with tomato sauce
The following client outcome has been established for a client with schizophrenia who is receiv-ing home health care following discharge from the hospital: Client will bathe weekly and wear clean clothing
The client's mother tells the home health nurse, "He bathed the first week after he left the hospi-tal, but he hasn't bathed this week." How should the nurse handle this situation? 1. Reemphasize the fact that the client has no choice if he wants to improve. 2. Enlist the help of a more objective family member to assist the client. 3. Praise the client for bathing once, review the goal, and reevaluate in a week. 4. Examine the client's skin for possible breakdown related to poor hygiene.