A nurse is planning discharge teaching on tracheostomy care for an older client. What factors does the nurse need to assess before teaching this particular client? (Select all that apply.)
a. Cognition
b. Dexterity
c. Hydration
d. Range of motion
e. Vision
ANS: A, B, D, E
The older adult is at risk for having impairments in cognition, dexterity, range of motion, and vision that could limit the ability to perform tracheostomy care and should be assessed. Hydration is not directly related to the ability to perform self-care.
You might also like to view...
A strong and frequent cause of conflict for licensed practical nurses (LPNs) is:
1. scarce resources. 2. family problems. 3. unclear roles. 4. competition among staff nurses.
A client admitted with Paranoid Personality Disorder insists the food is contaminated with pesticides. Which of the following communication techniques should the nurse plan to use to encourage the client to eat?
A) Encourage identification of foods preferred by the client. B) Identify reasons why the client should eat. C) Ask client open-ended questions and sit with client. D) Describe how the food is prepared at the institution.
The nurse is monitoring a patient who has
been on antibiotic therapy for 2 weeks. Today the patient tells the nurse that he has had watery diarrhea since the day before and is having abdominal cramps. His oral temperature is 101° F (38.3° C). Based on these findings, which conclusion will the nurse draw? a. The patient's original infection has not responded to the antibiotic therapy. b. The patient is showing typical adverse effects of antibiotic therapy. c. The patient needs to be tested for Clostridium difficile infection. d. The patient will need to take a different antibiotic.
Which statement by the nurse indicates understanding of the General Systems Theory?
a. "It is a 5-step process of an individual's decision to adopt an innovation.". b. "It is known as a change theory.". c. "It includes knowledge, persuasion, deci-sion, implementation, and confirmation.". d. "It organizes interdependent parts work-ing together to produce a product that none used alone could produce.".