What should discharge planning for a patient who lives alone and is at high risk for falling include?
a. Cannot go home unless someone is with him all the time
b. Must go to a long-term care facility
c. Can wear devices around the neck that can signal for help
d. Needs to be aware of the dangers of living alone
C
A person who is at risk for falling would be wise to have a call system to obtain help from others. Devices worn around the neck that can send signals to a control center are effective and provide a feeling of well-being for the individual who has the potential for falling.
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A patient who is taking olanzepine (Zyprexa) also smokes. Which will the nurse include when discussing use of Zyprexa with this patient?
1. Smoking can diminish the effect of Zypreza. 2. Zyprexa will increase the negative effects of smoking. 3. Smoking can increase the possible toxicity of Zyprexa. 4. Smoking is bad for the patient's health but will not interact with Zyprexa.
A patient who lost a grandchild over a year ago recently stopped taking her anti-depressant medication. When assessing the patient, which finding would suggest a relapse of the patient's depression?
1. Changes in the patient's sleep patterns 2. Increased patient talk about her grandchild 3. Continuing patient participation in a grief support group 4. Patient involvement in creating a memorial scholarship fund
The nurse in an extended-care facility finds an 86-year-old female resident in tears and her hearing aids on the floor. The resident says, "I'll just be deaf! I can't stand those things in my ears! All I can hear is static, hums, and whistles!"
What would be the most helpful response by the nurse? a. "Everybody says that. I'm going to put these back in the box in your bedside table." b. "Those are very expensive pieces of equipment. Because you paid for them, it seems to me to just be good sense to use them." c. "Let's put them back in. You'll get used to them in a few days." d. "It's frustrating to have something not work. Let me help you replace them and after 10 minutes, I'll help you take them out."
A client is admitted to the birth setting in early labor. She is 3 cm dilated, -2 station, with intact membranes, and FHR of 150 bpm. Her membranes rupture spontaneously, and the FHR drops to 90 bpm with variable decelerations
What would the nurse's initial response be? 1. Perform a vaginal exam 2. Notify the physician 3. Place the client in a left lateral position 4. Administer oxygen at 2 L per nasal cannula