The nurse plans teaching for the older adult client about prevention of respiratory illnesses. What is the most important strategy for the client to use?
1. Obtain vaccinations as scheduled
2. Reduce use of inhaled tobacco
3. Wear a mask when mowing the lawn
4. Use hand sanitizer after shopping
1. Obtain vaccinations as scheduled
Explanation: 1. Getting a flu vaccination annually and pneumonia vaccination beginning at the age of 65 are key to keeping the immune system healthy against diseases. Flu and pneumonia can result in death in the older adult client.
2. Elimination of smoking is recommended. This includes all smoking including tobacco, electronic cigarettes, and other inhaled, recreational substances.
3. If the client is allergic to substances found in the lawn, then this is advisable. The client should avoid allergens. airborne toxins, and air pollution. This is not a necessary precaution for many adults.
4. Washing hands frequently and avoiding others who are sick is ideal. While shopping, the client may have come into contact with many infectious sources. While using hand sanitizer after the trip is good, depending on the time of year, this may not be a strict enough strategy to prevent infection.
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The husband of a patient on a care area is very angry and wants to talk with the nurse about the terrible care his wife is receiving. Which of the following communication techniques should the nurse use when interacting with this individual?
a. Arrange the setting so the husband is in front of the door with the nurse directly behind him. b. Start the conversation with a handshake or touch to his shoulder to express care and concern. c. The nurse should not turn his/her back on the man. d. Stay above his line of vision.
The nurse is preparing to conduct a history on a patient being seen for hip pain and reduced range of motion. The nurse realizes that the primary purpose of the history is to:
1. Determine the patient's functioning to plan the care. 2. Allow the patient to talk about the ailment. 3. Figure out if the patient needs assistive devices. 4. Evaluate the degree of pain the patient is experiencing.
A patient in the emergency department is complaining of left lower abdominal pain. The comprehensive abdominal examination would include, in proper order, which of the following?
a. Inspection, palpation, auscultation b. Percussion, inspection, auscultation c. Inspection, palpation, percussion d. Inspection, auscultation, palpation
A patient is scheduled for abdominal surgery tomorrow. While gathering preoperative data, the nurse learns that the patient takes the following medications daily:
an anticoagulant, a multivitamin, and vitamin E. The patient reports that he stopped taking the anticoagulant 4 days ago as instructed by the surgeon. He has continued to take the multivitamin and vitamin E. Based on the information given, the nurse notifies the surgeon because she: a. Needs an order to restart the anticoagulant b. Is concerned about continued use of the multivitamin c. Is concerned about the vitamin E d. Has canceled the surgery so more lab tests can be done.