The nurse is working with a 77-year-old patient who is living at home with his daughter and her husband and three school-age children. The patient is ambulatory and oriented
Which action would be most appropriate in relation to the nursing diagnosis of High Risk for Injury Due to Environmental Hazards? a. Provide nonglare lighting.
b. Encourage the patient to read the paper daily.
c. Put a calendar and a clock in the patient's room.
d. Encourage the patient to engage in a hobby.
A
The nurse caring for older patients must be aware of the patient's increased sensitivity to glare and allow time for the eyes to accommodate changes in lighting. Bright colors compensate for the decline in color discrimination. Provide adequate nonglare lighting.
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A patient is taking phenazopyridine (Azo-Standard) and ciprofloxacin (Cipro) for a urinary tract infection. What is the most important instruction the nurse needs to provide to the patient concerning this drug combination?
A) "Do not be alarmed if your urine is a reddish-brown color." B) "Be sure to take your medication with food if you have GI irritation." C) "Increase your fluid intake. Drink lots of water." D) "If you notice yellowing of your eyes or skin, contact your health care provider immediately."
A patient states that he occasionally takes an over-the-counter laxative for constipation. What is this information an example of?
a. Objective data b. Inspection c. Subjective data d. Alternative therapy
An interpreter asks the nurse, "What is cholesterol?" while helping the nurse communicate with a patient. Which of the following should the nurse do?
a. explain what cholesterol is b. ask the interpreter why they want to know c. ignore the interpreter's question d. tell the interpreter later what cholesterol is
The client's chest tubes are being removed today by the provider. Which does the nurse implement for chest tube removal? (Select all that apply.)
1. Positions the client 2. Assesses the client 3. Removes the sutures 4. Holds occlusive dressing 5. Applies manual pressure 6. Premedicates with analgesic