The nurse is caring for a patient with chronic glomerulonephritis. Which intervention should the nurse add to this patient's plan of care to address excess body fluid?
A. Weigh daily on the same scale.
B. Assess for signs of infection.
C. Document energy level.
D. Schedule activities to conserve energy.
Answer: A
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The nurse is performing a nutritional assessment on an 80-year-old patient. The nurse knows that physiologic changes can directly affect the nutritional status of the older adult and include:
a. Slowed gastrointestinal motility. b. Hyperstimulation of the salivary glands. c. Increased sensitivity to spicy and aromatic foods. d. Decreased gastrointestinal absorption causing esophageal reflux.
The nursery nurse notes the presence of diffuse edema on a newborn baby's head. Review of the birth record indicates that her mother experienced a prolonged labor and difficult childbirth
What action by the nurse is best? A. Document the findings in the infant's chart. B. Measure head circumference every 12 hours. C. Prepare to administer IV osmotic diuretics. D. Transfer the baby to the NICU for monitoring .
Which of the following cases is an example of transgenerational violence as a theory of the etiology of elder abuse?
A) a daughter who abuses alcohol B) a daughter who is working two jobs with significant debts and cares for her father, who is becoming more confused and dependent C) a son who, as a teenager and young adult, had serious arguments with his parents, who were emotionally abusive to him D) a daughter who has severe arthritis and finds it increasingly difficult to deal with her forgetful, frail mother
A patient requires digital removal of a fecal impaction. Which action should the nurse perform before beginning this procedure?
a. Administer large-volume tap water enemas until clear. b. Assist the patient into the dorsal recum-bent position. c. Check for an order from the healthcare provider. d. Delegate the procedure to nursing assistive personnel (NAP).