The nurse is assessing a frail older patient in a skilled facility. Which manifestations should the nurse consider as expected for this patient? Standard Text: Select all that apply
1. Low energy
2. Poor endurance
3. Energetic gait speed
4. Low activity tolerance
5. Generalized weakness
1,2,4,5
Rationale: In the older patient a characteristic of frailty is low energy.
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The nurse and a client are discussing the diagnosis of depression. The client asks, "Where in my brain does the depression come from?" The nurse is aware that:
A) The parietal lobe has been linked to depression. B) The medulla regulates key biological and psychological activities. C) The limbic system is thought to be the emotional center of the brain. D) The occipital lobe governs perceptions of events, judging them as positive or negative.
The nurse monitoring the oncological client for early signs of vena cava syndrome would include assessment for which of the following?
1. Cyanosis 2. Arm edema 3. Periorbital edema 4. Mental status changes
Identify common characteristics in an assessment of a child with a truncus arteriosus heart defect. Select all that apply
1. Cyanosis 2. Narrow pulse pressures 3. Grunting and retractions while breathing 4. Diaphoresis 5. Bradycardic