The home health nurse cautions the older adult patient that because of age-related changes in the musculoskeletal system, there is an increased risk for:
a. fractures due to poor uptake of calcium.
b. heart attacks due to increased effort to ambulate.
c. respiratory failure due to kyphosis.
d. falls related to posture changes.
D
Falls are the leading cause of accidental death in individuals over 65, in part because of posture changes brought on by age.
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The nurse provides instructions to the parent of a newborn to bring the infant to the well-baby clinic for a phenylketonuria (PKU) rescreening blood test. The parent brings the infant to the clinic, and the blood test is drawn
The results of the test indicate a serum phenylalanine level of 1.0 mg/dL. The nurse interprets these results as: 1. Positive 2. Negative 3. Inconclusive 4. Requiring rescreening at age 6 weeks
The nurse is functioning in the primary role to care for a 12-year-old boy with metastatic cancer in the liver. Which activity is typical of advocacy?
A) Instructing parents about proper home care B) Educating the family about choices they have C) Telling parents about clinical guidelines D) Teaching the family about types of cancers
A pt with a PE asks for an explanation of heparin therapy. What is the nurses best response?
a. it keeps the clot from getting larger by preventing platelets from sticking together to improve blood flow b. it will improve your breathing and decrease chest pain by dissolving the clot in your lung c. it promotes the absorption of the clot in your leg that originally caused the PE d. it increases the time it takes for blood to clot therefore preventing further clotting and improving blood flow
Which teaching point should the nurse include in the discharge instructions for a pediatric client who has undergone cardiac surgery?
1. Should not receive routine immunizations. 2. Should be restricted from most play activities. 3. Fever is expected for several weeks following the surgery. 4. Prophylactic antibiotics are required for any dental, oral, or upper respiratory tract procedures.