An older adult who is cognitively impaired is admitted to the hospital with pneumonia. Which sign or symptom would the nurse expect to be exhibited by the patient?
a. Severe headache
b. Flank pain
c. Increased confusion
d. Decreased blood glucose
ANS: C
Increased confusion is a symptom that occurs in cognitively impaired patients who experience an infection. Severe headache occurs with migraines, meningitis, and other conditions. Flank pain occurs with pyelonephritis. Blood glucose typically increases with an infection.
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One day after discharge, the postpartum patient calls the clinic complaining of a reddened area on her lower leg, temperature elevation of 37 ° C (99.8 ° F), rust-colored lochia, and sore breasts. What does the nurse suspect from these symptoms?
a. Phlebitis b. Puerperal infection c. Late postpartum hemorrhage d. Mastitis
A chief nursing officer (CNO) has been hired to develop a healthy work environment and culture of safety in a hospital with a long record of safety problems and poor patient outcomes. The best initial action by the CNO would be to
a. create a policy where any nurse can stop procedures for a safety check. b. design team-building events and basic communications in-services. c. have all nurses in the facility reapply and interview for their jobs. d. inform nurses that it is their job to report potential safety problems.
A nurse educator is performing client education with a 51-year-old man who has been recently diagnosed with chronic kidney disease. Which of the following statements by the client would the nurse most likely want to correct or clarify?
A) "I'll be prone to anemia, since I'm not producing as much of the hormone that causes my bones to produce red blood cells." B) "My heart rate might go up because of my kidney disease, and my blood might be a lot thinner than it should be." C) "My kidney problems increase my chance of developing high blood pressure or diabetes." D) "I'll have a risk of either bleeding too easily or possibly clotting too quickly, though dialysis can help minimize these effects."
Interventions to improve client problems related to xerostomia include
A) chewing regular chewing gum. B) discouraging the use of oral mouth rinses. C) placing a dehumidifier in the home environment. D) avoiding foods that are difficult to chew or swallow.