The nurse is planning care for an 82-year-old obese female patient with Alzheimer's dementia. The patient wanders, is unsteady on her feet, and is visually impaired. What should the nurse give priority to when developing the plan of care?
a. Laboratory results
b. Skin condition
c. Safety
d. Nutrition
ANS: C
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The client's heart rate increases slightly during inspiration and decreases slightly during expiration. What action does the nurse take?
a. Evaluate for a respirator disorder. b. Assess the client for chest pain. c. Document the finding in the chart. d. Administer antidysrhythmic drugs.
During a first trimester prenatal assessment the nurse has identified that the client has an inadequate intake of folic acid. Which of the following foods would be of greatest benefit for the client to consume?
1. Potatoes and grapes 2. Cranberries and squash 3. Apples and corn 4. Orange juice and turkey
Which patient information is most important for the nurse to monitor when evaluating the effectiveness of deferoxamine (Desferal) for a patient with hemochromatosis?
a. Skin color b. Hematocrit c. Liver function d. Serum iron level
The nurse is providing a client education about dysrhythmias. Which statement should the nurse include in the teaching?
A. "Dysrhythmias cause serious electrolyte imbalances; this results in heart block." B. "Dysrhythmias are the result of longstanding, uncontrolled hypertension." C. "Dysrhythmias interrupt the normal electrical pathways in the heart so it can't beat properly." D. "Dysrhythmias alter the blood flow through the heart and cause it to stop beating."