The nurse recognizes that a major indicator of a positive self-image in an older adult living in a long-term care facility is:
a. feeding self independently.
b. maintaining urinary continence.
c. having family visitors every week.
d. neat grooming and wearing fresh clothing.
ANS: D
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A preterm infant is jittery and has an oxygen saturation of 88%. After stabilizing the newborn, what action by the nurse is most important?
A. Assess the mother for caffeine use during pregnancy. B. Assess the mother for opioid use during pregnancy. C. Call Child Protective Services (CPS) to take the child away. D. Question the father about maternal drug abuse.
The nurse discussing potential risk factors of infective endocarditis with a hospitalized patient would include which of the following as a potential risk factor of this disease process?
A) Radiation exposure B) Prosthetic cardiac valves C) Sedentary lifestyle D) Cardiac catheterization
A nurse is preparing to help a client with a skin infection have a tub bath. In which of the following ways can the nurse ensure the client's safety?
A) Check that the bathroom has a non-skid floor. B) Check that the grab bars are at shoulder level. C) Give the client a damp towel for bathing. D) Keep a bottle of bathing oil near the tub.
A student is reviewing a patient's chart before giving care. She notes the following diagnoses in the contents of the chart: "appendicitis" and "acute pain." Which of the diagnoses is a medical diagnosis?
A) neither appendicitis nor acute pain C) appendicitis B) both appendicitis and acute pain D) acute pain