A home health nurse has a caseload of several postoperative clients. Which one would be most likely to require a longer period of care?
A) An infant
B) A young adult
C) A middle adult
D) An older adult
Ans: D
An older adult heals more slowly than do children and adults as a result of physiologic changes of aging, resulting in diminished fibroblastic activity and circulation. Older adults are also more likely to have one or more chronic illnesses, with pathologic changes that impede the healing process.
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A nurse notes that a client's urine output is less than 300 ml over the past 24 hours. Which of the following could be the possible cause for the client's decreased output?
A) Diuretic medication B) Endocrine disease C) Kidney dysfunction D) Liver disease
The patient has end-stage renal disease (ESRD) and is admitted with a blood urea nitrogen (BUN) level of 93 mg/dL. An excessive elevation of BUN could result in
a. dehydration. b. disorientation. c. edema. d. catabolism.
An older adult with gastric cancer with bone metastases is being discharged from the hospital after beginning a regimen of opioid analgesics to control the metastatic pain. What should be in-cluded in the discharge teaching plan?
a. The development of a plan to prevent constipation b. Benefits of grief counseling c. Increasing calories in the diet d. Preventing pressure ulcers
A patient makes a decision to quit smoking and joins a smoking cessation class. This is an example of which of Dunn's processes that help a person know who and what he or she is?
A) being B) belonging C) becoming D) befitting