When compared to highly mobile counterparts, the least mobile elderly tended to respond to touch:
a. equally
b. less positively
c. more positively
d. not at all
C
When compared to highly mobile counterparts, the least mobile elderly tend to respond to touch more positively. Being less mobile, these individuals often feel isolated from their community. They place great importance and value on the smallest gesture of touch because touch leads to a feeling of affinity and of belonging to community.
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A patient who sustained a head injury is to be monitored for changes in neurological status. The earliest and most important indicator of change in neurological status would be
1. decrease in the level of consciousness. 2. increased size of pupils. 3. presence of abnormal postures. 4. change in the vital signs.
A client has just been admitted for labor and delivery. She is having mild contractions lasting 30 seconds every 15 minutes. The client wants to have a medication-free birth
When discussing medication alternatives, the nurse should be sure the client understands which of the following? 1. In order to respect her wishes, no medication will be given. 2. Pain relief will allow a more enjoyable birth experience. 3. The use of medications allows the client to rest and be less fatigued. 4. Maternal pain and stress can have a more adverse effect on the fetus than would a small amount of analgesia.
A pregnant patient has an Rh-negative blood type. Following the birth of the fetus, the nurse administers RhoGAM (D immune globulin). What is the purpose of this medication?
A) Promote maternal D antibody formation B) Prevent maternal D antibody formation C) Stimulate maternal D immune antigens D) Prevent fetal RH blood formation
The nurse is assisting with the development of care plan for a patient withdrawing from cocaine. What would be the first nursing diagnosis priority for this patient?
a. Altered nutrition; less than body requirements b. Risk for altered peripheral tissue perfusion c. Risk for fluid volume deficit d. High risk for self-directed violence