MC The team leader RN can delegate all of the following client activities to other health care workers except
A. Admission vital signs.
B. Wound dressing change.
C. Reviewing a teaching activity with the client.
D. Establishing long-term client goals.
D
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In obtaining a health history on a 74-year-old patient, the nurse notes that he drinks alcohol daily and that he has noticed a tremor in his hands that affects his ability to hold things. With this information, what response should the nurse make?
a. "Does your family know you are drinking every day?" b. "Does the tremor change when you drink alcohol?" c. "We'll do some tests to see what is causing the tremor." d. "You really shouldn't drink so much alcohol; it may be causing your tremor."
You are about to take the patient's temperature using a temporal artery thermometer. This procedure would require which of the following steps? Select all that apply
a. Remove the protective cap from the probe head. b. Position the probe head on the center of the forehead, midway between the eyebrow and hairline, and depress the scan button. c. Rapidly, while applying pressure, move the thermometer across the forehead (in either direction) maintaining contact between the probe head and the patient's forehead until the hairline is reached. d. Observe for a blinking light and/or beeping indicating that a measurement is being calculated. e. Release the scan button and remove the thermometer from the patient's forehead. Read the temperature on the display screen. f. Discard the protective cap and the probe.
Which statement made by a nurse best indicates an understanding about the nurse's role in medication management for the older adult client?
1. "In the client with new onset constipation, I'll advocate for a daily laxative dose." 2. "When a client has difficulty sleeping, an as-needed dose of a benzodiazepine should be used." 3. "The client with acute pain should get pain medications around the clock and as needed." 4. "I should encourage the person with heartburn to sit up after medications and meals."
Women with an intact uterus should be treated with both estrogen and progestin due to:
1. Increased risk for endometrial cancer if estrogen alone is used 2. Combination therapy provides the best relief of menopausal vasomotor symptoms 3. Reduced risk for colon cancer with combined therapy 4. Lower risk of developing blood clots with combined therapy