An older adult being treated for a burn on his lower leg and foot is surprised at its severity. He says, "It really didn't hurt very badly when I did it." What should the nurse consider before responding?
1. Patients can block out portions of painful stimuli if it is overwhelming.
2. Aging can decrease touch sensitivity to the feet and lower legs.
3. Poor circulation has probably resulted in death of the nerve endings in the patient's legs.
4. Burns on the legs often appear very severe because the skin is so thin.
Answer: 2
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When the older female adult who is close to death asks the family to leave after short vis-its and acts withdrawn in their presence, the family becomes distraught
Which does the nurse include in family teaching to explain the patient's behavior? a. She is preoccupied with her own death. b. She must have unresolved family issues. c. She can be experiencing anticipatory grief. d. Her body prepares for death in this manner.
The nurse is screening clients at a community health fair. Which client is at highest risk for development of colorectal cancer?
a. Young adult who drinks eight cups of coffee every day b. Middle-aged client with a history of irrit-able bowel syndrome c. Older client with a BMI of 19.2 who works 65 hours per week d. Older client who travels extensively and eats fast food frequently
A home care patient has an indwelling catheter connected to a leg bag. What can the nurse recommend to help prevent development of a urinary tract infection?
A) Empty the leg bag at regular intervals. B) Always wipe from front to back after voiding. C) Restrict intake of fluids to decrease amount of urine. D) Take the tubing apart and wash it each day.
The client who is bed-bound complains of abdominal pain. Bowel sounds are present. What action should be taken by the nurse?
1. Percuss for flatness over the liver. 2. Palpate for bladder fullness. 3. Use the p.r.n. order to medicate the client with an antacid. 4. Inspect the sacral area for edema.