The nurse manager of the medical-surgical unit assigns which client to the LPN/LVN?
A. 44-year-old admitted with dehydration who has a heart rate of 126
B. 54-year-old just admitted with hyperkalemia who takes a potassium-sparing diuretic at home
C. 64-year-old admitted yesterday with heart failure who still has dependent pedal edema
D. 74-year-old who has just been admitted with severe nausea, vomiting, and diarrhea
Answer: C. 64-year-old admitted yesterday with heart failure who still has dependent pedal edema
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When encouraging a fitness program for healthy older adults, what must the nurse consider?
a. Older adults should engage in 75 to 150 minutes of moderate-intensity physical activity per week. b. More than 150 minutes of moderate-intensity physical activity can be harmful to bones. c. Structured fitness programs achieve greater health benefits for older adults. d. Older adults at risk for falling should do activities that maintain or improve balance.
A patient with borderline personality disorder approaches you and voices concern that she is being ignored and feels unimportant. The patient blames the nursing staff for these feelings because the nurses are "not paying attention" to her
Your best therapeutic response to this patient is: A. "I will bring it up at our next meeting." B. "It's all in your imagination." C. "Tell me more about your feeling of 'being ignored.'" D. "You need to share your feelings with the individual nurses you feel are ignoring you."
A nurse is caring for a patient with a fever of 10C.2°F whose wife asks, "Why does his body get so hot like that?" The nurse's best response is:
1. "Actually, a fever is often what makes people seek medical help." 2. "A fever is the body's way of creating an environment that is harmful to germs." 3. "It is frustrating that his fever is still high when I gave him Tylenol 10 minutes ago." 4. "I think the fever is still up because the antibiotics haven't had time to work yet."
The nurse is caring for a client who has developed septic shock related to cancer chemotherapy. The nurse recognizes changes in mental status most likely result from:
1. Decreased tissue oxygenation. 2. Metastasis of underlying cancer. 3. Anxiety about and fear of death. 4. A result of chemotherapy.