An important concern for the older adult may include adapting the personal environment to support:
a. identity and role clarification. c. safety and independence.
b. integrity and generativity. d. autonomy and intimacy.
ANS: C
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Which best describes a goal?
a. It is measurable and has a time limit. b. It is a broad statement that describes the intended change in the patient's behavior. c. It is a direct result of analysis of collected data. d. It includes both objective and subjective data.
A client is ordered to receive warfarin (Coumadin), which is highly protein bound. Another medication that is equally highly protein bound is ordered. The nurse anticipates that the dosage will be:
a. increased for one drug. b. increased for both drugs. c. decreased for one drug. d. decreased for both drugs.
The nurse caring for a group of clients recognizes that which client has a superinfection?
1. 47-year-old client with type 2 diabetes and pneumonia 2. 50-year-old AIDS client with candida 3. 46-year-old client with vascular disease and cellulitis of the leg 4. 52-year-old client with gastroesophageal reflux disease (GERD) and gastritis
You are caring for a client who have just returned to the surgical unit after a TURP. Which assessment finding will require the most immediate action?
A. Blood pressure reading of 153/88 mmHg B. Catheter that is draining deep red blood C. Client not wearing anti embolism hose D. Client reports of abdominal cramping