A frail, elderly patient admitted with dehydration to a medical-surgical unit is exhibiting confusion, distractibility, memory loss, and irritability. What is most important for the nurse do?
1) Recognize these symptoms as signs of normal, physiologic aging.
2) Obtain a urine specimen before notifying the primary care provider.
3) Be sure she is placed in room occupied with another patient.
4) Interview the patient to screen for clinical depression.
ANS: 4
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A nurse is caring for a patient who has just been diagnosed with Parkinson disease. The patient does not understand how the medication ordered, carbidopa-levodopa, is going to help her condition
Which of the following is the correct response by the nurse? A) "Carbidopa-levodopa will delay the loss of muscle strength and limb function for several months." B) "This drug will change the immune processes in your body to help decrease the tissue damage." C) "Carbidopa-levodopa increases the activity of dopamine in your body, which will decrease your symptoms." D) "Your drug therapy will reduce excessive reflex activity causing your muscle spasms and will allow for muscle relaxation."
An 18-year-old pregnant female has tested positive for HIV and asks the nurse if her baby is going to be born with HIV. What is the nurse's best response?
A) "There is no way to know that for certain, but we do know that your baby has a one in four chance of being born with HIV." B) "Your physician is likely the best one to ask that question." C) "If the baby is HIV positive there is nothing that can be done until it is born, so try your best not to worry about it now." D) "It's possible that your baby could contract HIV, either before, during, or after delivery."
The nurse is reviewing a client's medical history. Which factors would indicate that client is at risk for the development of diabetes? (Select all that apply.)
a. triglyceride level of 199 mg/dL d. blood pressure of 138/78 b. first child weighed 9 lbs 3 oz e. taking antihyperten-sive medications c. body mass index of 32 f. great uncle who was diabetic
Parents demonstrate understanding of the nurse's teaching with regard to prevention of irondeficient anemia if they
1. feed their infant with a formula thatis not iron fortified. 2. start iron-fortified infant cereal at 4 to6 months of age. 3. introduce cow's milk at 6 monthsof age. 4. limit vitamin C consumption after1 year of age.