Mrs. Harris is an 83-year-old woman who has returned to the community following knee replacement surgery
The community health nurse recognizes that Mrs. Harris has prescriptions for nine different medications for the treatment of varied health problems. In addition, she has experienced occasional episodes of dizziness and lightheadedness since her discharge. The nurse should identify which of the following nursing diagnoses?
A) Risk for infection related to polypharmacy and hypotension
B) Risk for falls related to polypharmacy and impaired balance
C) Adult failure to thrive related to chronic disease and circulatory disturbance
D) Disturbed thought processes related to adverse drug effects and hypotension
Ans: B
Feedback:
Polypharmacy and loss of balance are major contributors to falls in the elderly. This patient does not exhibit failure to thrive or disturbed thought processes. There is no evidence of a heightened risk of infection.
You might also like to view...
Which route for ETT placement is used in an emergency?
a. Orotracheal c. Nasopharyngeal b. Nasotracheal d. Trachea
Which of the following best describes the primary purpose of both the Health Belief Model (HBM) and Health Promotion Model (HPM) models?
a. To create an alternative to analyzing each individual person's motivation b. To find a more efficient way to explain behavior to other professionals c. To help explain why individuals do or do not engage in health actions d. To assist professionals in knowing how to intervene in client decisions
An infant has been NPO for surgery for 4 hours, and does not have an intravenous line. The nurse receives a call from the operating room with the information that the surgery has been postponed due to an emergency
Which is the priority action for the nurse? 1. Feed the infant 4 ounces of formula. 2. Reassure the parents that it will not be much longer before surgery. 3. Allow the parents to feed the infant an ounce of oral rehydration solution. 4. Call the physician to see if the infant needs to have an intravenous line started.
The nurse is teaching a group of HIV/AIDS clients nutrition therapy and their needs. The nurse explains that their protein intake should be approximately which of the following?
A) 80 to 130 g/day for men, 60 to 80 g/day for women B) 100 to 150 g/day for men, 80 to 100 g/day for women C) 120 to 170 g/day for men, 100 to 120 g/day for women D) 140 to 190 g/day for men, 120 to 140 g/day for women