The nurse is questioning an older client for changes indicating a disorder of cognition. The nurse should suspect that the client may need further testing if the client:
1. has forgotten how to use the phone.
2. keeps making mistakes when balancing the checkbook.
3. cannot tie shoes due to arthritis.
4. forgot the doctor's name.
Answer: 1
1. Forgetting how to use the phone indicates declarative memory loss which could indicate cognitive impairment.
2. Making mistakes balancing the checkbook is an example of normal memory loss.
3. The client's reason for not tying shoes is a physical reason and is not cognitive impairment.
4. Forgetting the doctor's name is simple normal memory loss.
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1. zero. 2. mild. 3. moderate. 4. severe.
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The nurse is preparing to administer an adrenergic drug intravenously. Which should the nurse include in the plan of care?Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.
A. Give the drug as rapidly as possible by intravenous push. B. Dilute the drug before administration. C. Use an infusion pump to control rate of administration. D. Monitor for blanching at the infusion site. E. Advise the patient that a sweet taste may occur as the drug is being given.
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Answer the following statement true (T) or false (F)