The nurse determines that an older patient has age-related changes in the vestibular structures of the ear. What should the nurse identify as risks for this patient?
Select all that apply.
1. infection
2. falls
3. medication errors
4. food intolerance
5. problems communicating
Correct Answer: 2, 5
Degeneration and atrophy of inner ear structures involved in balance and equilibrium increase the risk for falls. With the loss of high-frequency sounds, speech may be distorted, contributing to a risk for problems with communication. Infection, medication errors, and food intolerance are unrelated to vestibular changes.
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A nurse cares for a client with hepatic portal-systemic encephalopathy (PSE). The client is thin and cachectic in appearance, and the family expresses distress that the client is receiving little dietary protein. How should the nurse respond?
a. "A low-protein diet will help the liver rest and will restore liver function." b. "Less protein in the diet will help prevent confusion associated with liver failure." c. "Increasing dietary protein will help the client gain weight and muscle mass." d. "Low dietary protein is needed to prevent fluid from leaking into the abdomen."
A patient arrives in the ED very hypovolemic related to excretion of "at least 3 gallon jugs of urine in the past 24 hours."
He describes the urine as being clear-like water. The physician suspects diabetes insipidus. The nurse should be prepared to administer which of the following medications? A) Desmopressin acetate (DDAVP) B) Benadryl, an anticholinergic C) Calcium gluconate D) Prednisone
Nightingale proposed nursing as
A. An extension of the environment. B. An art and a science. C. Empirical science. D. Physician's handmaiden.
A patient with congestive heart failure complains of waking up often during the night to urinate. A nurse identifies this condition as ____________________
Fill in the blank with correct word.