When caring for the hospitalized older adult, the nurse amends the standardized care plan to include:

1. Monitoring vital signs more frequently.
2. Handwashing before and after delivering care.
3. Increased attention to maintaining skin integrity.
4. Administration of extra sedatives.


3
Rationale: The plan of care must consider the increased fragility of the older adult's skin, and special care must be taken to prevent loss of skin integrity. More frequent vital signs would be determined by status, not age. Handwashing should be performed for all clients. The older adult normally will need lower dosages of sedatives, not higher dosages.

Nursing

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The client experiencing infertility is to complete three months of documenting her basal body temperatures. Which statement by the client indicates a need for additional teaching?

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Nursing

A patient is prescribed regular doses of epinephrine. Which of the following nursing diagnoses is related to comfort and would be most appropriate for this patient?

A) Imbalanced Nutrition: Less Than Body Requirements B) Disturbed Sleep Pattern, Insomnia Related to CNS Excitation C) Disturbed Sensory Perception D) Ineffective Tissue Perfusion

Nursing

The client has received a dose of nitroprusside sodium to treat hypertensive crisis. She complains to the nurse of experiencing abdominal pain and nausea

The highest priority action on the part of the nurse is to call the physician because this is ________ the medication. a. an expected side effect of the b. an adverse reaction to c. evidence of a toxic level of the d. evidence of an anaphylactic reaction to

Nursing

After teaching a group of students about factors associated with vulnerable populations, the instructor determines the need for additional teaching when the students identify which as a factor?

A) Homelessness B) Acute illness C) Income D) Immigrant status

Nursing