A nurse assesses a 66-year-old woman who strained a muscle. The client attends the gym daily, and states, "I injured my muscle grouting the floor tile getting ready for the bridge class I teach." Which of the following categorizes this client's
A) Healthy
B) Active
C) Productive
D) Successful
Ans: B
The scenario does not show social participation, nor does it address whether or not the client is fully aging well (successful aging). The client does show healthy aging, but active aging better fits the information presented (active physically and mentally).
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A patient states that he or she is experiencing pain in the lower back. What is the best way for the nurse to document this subjective information?
a. "Seems back is hurting." b. "States ‘My lower back hurts.'" c. "Grimaces when moving; I believe patient has lower back pain." d. "Appears to be uncomfortable with lower back pain."
The nurse preparing to administer acetaminophen has the option of administering it in liquid, tablet, capsule, caplet, or rectal form
Which client would cause the nurse to choose the caplet form of the medication for administration? 1. 3-year-old pediatric client 2. Adult client who has difficulty swallowing tablets despite an intact swallowing reflex 3. Older adult client with dysphagia 4. Client whose medications are administered via nasogastric tube
A staff nurse complains to the nurse manager about an employee of another department constantly asking her out on a date even though she has told him she is not interested. Which ac-tion by the nurse manager is most appropriate?
a. Confront the employee and ask him to stay away from the staff nurse. b. Observe future interaction to confirm the reported harassment. c. Contact the supervisor to decide on the next step. d. Review the personnel manual to decide on the next step.
A 27-month-old toddler who is in the pediatric office for a well-child visit begins to cry the moment he is placed on the examination table. The parent attempts to comfort the toddler;however,nothing is effective
Which of these actions by the nurse takes priority? 1. Instruct the father to hold thetoddler down tightly to complete the examination. 2. Allow the toddler to sit on theparent's lap and begin the assessment.Allow the toddler to stand on thefloor until the crying stops. 4. Ask another nurse in the office tohold the toddler,since the parent is not able to control the toddler's behavior.