An older adult is taking diazepam several times a day. What does the nurse specifically monitor for?
a. Tachycardia
b. A hangover effect
c. Agitation
d. Hypertension
B
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An older patient with terminal cancer asks the nurse to explain palliative care. How should the nurse respond to this patient? Standard Text: Select all that apply
1. "It is the same as hospice care." 2. "It is always provided in the home." 3. "It can be provided along with life-prolonging care." 4. "It is helpful for chronic health problems for which there is no cure." 5. "It improves the quality of life while facing a life-threatening illness."
During the abdominal assessment of an elderly patient, the nurse palpates a mass in the midabdomen. What should the nurse do next?
A. Get the physician. B. Ask the patient to cough. C. Percuss the mass. D. Auscultate the mass.
A nurse has been assigned to provide care for a patient who has class IV heart failure. Which nursing interventions are indicated?
1. Assist nursing support personnel with the patient's bed bath. 2. Accompany the patient on a walk to the courtyard. 3. Monitor that the patient's position is changed every 2 hours. 4. Take vital signs before and after physical therapy weight-bearing exercises. 5. Assist the patient with meals as indicated.
The nurse is visiting the client who has a nursing diagnosis of Alteration in urinary elimination, retention. On assessment, the nurse anticipates that this client will exhibit which of the following symptoms?
a. Severe flank pain and hematuria b. Pain and burning on urination c. A loss of the urge to void d. A feeling of pressure and voiding of small amounts