An 89-year-old male patient returns to the local primary care clinic from a nursing home by wheelchair for follow-up hypertension treatment. The nurse would modify his health history to include which of the following questions?
A) Tell me about your medications: how they are administered and do you take them on a regular basis?
B) Tell me about where you live: do you feel your needs are being met and do you feel safe?
C) Your wheelchair would seem to limit your ability to move around. How do you deal with that?
D) What limitations are you dealing with related to your hypertension and being in a wheelchair?
Ans: B
Feedback: The question, "Tell me about where you live: do you feel your needs are being met and do you feel safe?" seeks to explore the specific issue of the safety in the home environment. People who are older, with a disability and living in the community setting, are at a greater risk for abuse. Options A, C, and D do not require modification of the health history.
You might also like to view...
The nurse caring for newborns with congenital disorders recognizes that which of the following infants will require several surgical repairs to resolve the problem and give the infant the best outcome?
A) the newborn with tetralogy of Fallot B) the newborn with a coarctation of the aorta C) the newborn with a patent ductus arteriosus D) the newborn with a ventricular septal defect
In comparing the abdominal and transvaginal methods of ultrasound examination, nurses should explain to their patients that:
1. both require the woman have a full bladder. 2. the abdominal is more useful in the first trimester. 3. initially the transvaginal can be painful. 4. the transvaginal allows pelvic anatomy to be evaluated in greater detail.
What is an appropriate statement for the nurse to make to parents of a child who has had a barium enema to correct an intussusception?
a. "I will call the physician when the baby passes his first stool.". b. "I am going to dilate the anal sphincter with a gloved finger to help the baby pass the barium.". c. "I would like you to save all the soiled diapers so I can inspect them.". d. "Add cereal to the baby's formula to help him pass the barium.".
According to the MyPlate food icon, what portion of the plate should be servings from the vegetable and fruit groups?
A. 1/4 plate B. 1/3 plate C. 1/2 plate D. 3/4 plate