Which patient statement is the most reliable indicator that an older adult has the correct understanding of health promotion activities?
a. "I need to increase my fat intake and limit protein."
b. "I still keep my dentist appointments even though I have partials now."
c. "I should discontinue my fitness club membership for safety reasons."
d. "I'm up-to-date on my immunizations, but at my age, I don't need the influenza vaccine."
ANS: B
General preventive measures for the nurse to recommend to older adults include keeping regular dental appointments to promote good oral hygiene, eating a low-fat, well-balanced diet, exercising regularly, and maintaining immunizations for seasonal influenza, tetanus, diphtheria and pertussis, shingles, and pneumococcal disease.
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Before involving the family in care of the dying patient, the nurse should:
a. ask the patient if he wants family care. b. ask family members if they want to assist with care. c. check the hospital policy on the family giving care. d. set a caring example.
A patient presents at the emergency department after receiving a chemical burn to the eye. What would be the nurse's initial intervention for this patient?
A) Generously flush the affected eye with an antibiotic solution. B) Generously flush the affected eye with normal saline or water. C) Apply a patch to the affected eye. D) Apply direct pressure to the affected eye.
A student has been assigned to provide morning care to a patient. The plan of care includes the information that the patient requires partial care. What will the student do?
A) Provide total physical hygiene, including perineal care. B) Provide total physical hygiene, excluding hair care. C) Provide supplies and orient to the bathroom. D) Provide supplies and assist with hard-to-reach areas.
The nurse performs intermittent catheterization on a client with residual urine. Which outcome does the nurse expect as an indication of effective therapy?
1. A dull aching back 2. 40 ml of residual urine 3. Cloudy malodorous urine 4. Minor urinary incontinence