The nurse caring frequently for older adults in the hospital is aware of risk factors that place them at a higher risk for shock. For what factors would the nurse assess? (Select all that apply.)
a. Altered mobility/immobility
b. Decreased thirst response
c. Diminished immune response
d. Malnutrition
e. Overhydration
ANS: A, B, C, D
Immobility, decreased thirst response, diminished immune response, and malnutrition can place the older adult at higher risk of developing shock. Overhydration is not a common risk factor for shock.
You might also like to view...
A patient, newly diagnosed with chronic obstructive pulmonary disease (COPD), calls the clinic and asks the nurse to explain what the newly prescribed medications are for. What would be the most appropriate response by the nurse?
A) "The medications that have been ordered for you are what the physician thinks will help you the most." B) "The medications that have been ordered for you are to help you breathe easier." C) "The medications that have been ordered for you are designed to work together to help you feel better." D) "The medications that have been ordered for you are to help relieve the inflammation and promote dilation of the bronchi."
What would be an appropriate dose of morphine to give an opioid naïve patient to manage tachypnea associated with dyspnea?
a. 5 mg PO every 4 hours c. 30 mg PO every 4 hours b. 15 mg PO every 4 hours d. 40 mg PO every 4 hours
The nurse is teaching a hospitalized patient to use mindfulness to reduce anxiety. Which statement by the nurse is appropriate?
a. "How do you feel about what happened to you as a child?" b. "How do you feel about what is going on right now?" c. "Remember a time when you were calm." d. "Tap your hands until the feeling goes away."
The nurse is using the NCHS growth chart for an African-American child. The nurse should consider that:
a. This growth chart should not be used. b. Growth patterns of African-American children are the same as for all other ethnic groups. c. A correction factor is necessary when the NCHS growth chart is used for non-Caucasian ethnic groups. d. The NCHS charts are accurate for U.S. African-American children.