The nurse is reviewing the food record of a client. Which factor should the nurse consider when reviewing the record?
A. The client does not measure the food correctly.
B. The client changes the type of foods they eat.
C. The client omits any alcohol that was consumed.
D. The client changes their eating patterns.
Answer: B
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Older adults are at risk for dehydration because of reduced thirst and aging kidneys. The nurse monitors for the early indicator of dehydration, which is:
1. reduced skin turgor. 2. constipation. 3. concentrated urine. 4. disorientation.
An older adult client is admitted with fluid volume excess. Which diagnostic study does the nurse facilitate as a priority?
a. Echocardiography b. Chest x-ray c. T4 and thyroid-stimulating hormone (TSH) d. Arterial blood gas
Which personality characteristic would the nurse expect in a patient diagnosed with an eating disorder?
a. Grandiosity b. Impulsivity c. Perfectionism d. Suspiciousness
The mother of a recently murdered child keeps the child's room intact. Family members are encouraging her to redecorate and move forward in life. The visiting nurse recognizes this behavior as _____ grief
a. Normal b. End-of-life c. Abnormal d. Complicated