A female client 89 years of age has been admitted to the hospital with a diagnosis of failure to thrive. She has become constipated in recent days, in spite of maintaining a high fluid intake and taking oral stool softeners
She admits to her nurse that the problem is rooted in the fact that she feels mortified to attempt a bowel movement on a commode at her bedside where staff and other clients can hear her. The nurse should respond by modifying which of the following resources?
A) Environment
B) Personnel
C) Equipment
D) Patient and visitors
Ans: A
Providing an environment for the client that is more conducive to privacy and, ultimately, to her elimination needs is necessary in this case. The equipment itself (i.e., the commode) is not the problem, but rather its proximity to others. The staff and the client herself are not central to the client's new problem.
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Which nursing interventions would be in line with the chronic care model? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply
1. Blood sugar is measured frequently in an attempt to achieve tight glycemic control. 2. The nurse provides the client with the URL for a new website dedicated to self-management of a chronic respiratory disease. 3. The nurse advocates for the client who has decided to forego further dialysis. 4. Client information is entered into an electronic medical record. 5. Information about the operating hours of a community recreation center is provided to the client with coronary artery disease.
The nurse instructs a family member on how to feed an older patient. Which observation indicates that the family member needs additional instruction?
1. Checks to make sure the patient's dentures are in place 2. Makes sure that each bite is swallowed before providing the next bite 3. Reminds the patient to chew the food after being placed in the patient's mouth 4. Tries to insert a utensil in the patient's mouth and the patient bites down tightly
The nurse educator is teaching a group of students how biocultural ecology can affect nursing care. Which student statement indicates understanding of the information presented?
1) "It is important to be aware of skin color variations when conducting an assessment of a patient who is from another culture." 2) "It is important to be aware of potential communication issues when conducting an assessment of a patient who is from another culture." 3) "It is important to know whether there are any issues related to eye contact when caring for someone of a different culture." 4) "It is important to know who makes the healthcare decisions when providing care for someone of a different culture."
Which assistive devices would be appropriate for the nurse to recommend for a terminal patient who is having difficulties with mobility? Select all that apply
1) Wheelchair 2) Walker 3) Bedside commode 4) Adult briefs 5) Blue pads