A patient is referred to the visiting nurse agency due to cognitive impairment. Which functional problems is this patient most likely to exhibit?
a. Inability to bathe and dress independently
b. Wandering in and away from his home
c. Lability of moods, from sociable to irritable
d. Becomes frustrated easily
A
Inability to bathe and dress suggests apraxia, the loss of ability to perform purposeful movements even though motor or sensory function are intact. For example, the patient may have impaired executive function and no longer be able to organize the steps and supplies necessary to complete activities of daily living. The other symptoms are less directly attributable to loss of cognitive ability.
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The physician has ordered the toddler to receive an oral medication. The toddler has fought medication administration in the past. Strategies the nurse will use to administer the medication would include: Standard Text: Select all that apply
1. Request the medication in liquid form and draw the medication in an oral syringe. 2. Put the medication in a favorite drink in the child's sippy cup. 3. Allow the mother to administer the medication to the child. 4. Notify the physician to change the route to intravenous. 5. Hold the child down and squirt the medication in the corner of his mouth.
A treatment regimen is being established for a patient with endocarditis. To find the most appropriate antibiotic treatment, which of the following tests would be the most helpful?
A) Ultrasound of the heart B) Blood cultures C) ABG D) CBC
Which information should be taught to patients starting on anticoagulant therapy for a valvular disorder? (Select all that apply.)
a. Increase the dose of aspirin for better therapy. b. Take medication at the same time each day. c. Report to physician cuts that do not stop bleeding with direct pressure. d. No restrictions for food or drink. e. Report for prescribed blood tests (PTT, INR, CBC, blood sugar).
A research nurse understands that evidenced-based practice in nursing does which of the following?
A) Relies on tradition B) Consults recognized authorities C) Depends primarily on textbooks D) Is based on the latest research