The nurse is planning care for an older adult client with type 2 diabetes mellitus. Which nursing diagnosis would be most appropriate for this client?
A) Risk for Falls
B) Risk for Infection
C) Ineffective Tissue Perfusion: Cardiac
D) Impaired Tissue Integrity
Answer: B
A client with diabetes mellitus is at the greatest risk for infection. No other information is given in the question with regard to risk for falls, ineffective tissue perfusion, or impaired tissue integrity as potential nursing diagnoses.
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Which describes the difference between total patient care and primary nursing?
1. One RN is accountable for the nursing care of one client for the duration of the hospital stay. 2. The fewest number of nurses are assigned to one client during the hospital stay. 3. One RN communicates with the physician and family members of the client. 4. One RN completes all tasks related to the care required by the client.
A patient tells the nurse that she doesn't wash her hands very much because the skin on her hands is dry and cracked. Which of the following should the nurse instruct this patient?
1. Use a hand lotion with high fat or oil content to protect the skin. 2. Wash hands with cold water instead. 3. Wash hands with hot water instead. 4. Wash hands without soap.
A patient has been diagnosed with peripheral vascular disease of the lower extremities. What site would the nurse use to assess circulation of the legs?
A) radial artery B) dorsalis pedis artery C) temporal artery D) carotid artery
An older adult's nutritional status may decline if they have arthritis because
a. it is associated with loss of appetite. b. their ability to prepare food may be im-paired. c. taste changes may cause food to be unap-petizing. d. it causes an increase in protein and nu-trient requirements.