A nursing manager notes that many older patients are admitted to the nursing unit for acute problems. What action can the manager take to most benefit this population?
a. Provide mandatory education on the needs of the older patient.
b. Provide restorative therapy programs de-signed for this group.
c. Ensure staffing numbers are adequate for dependent patients.
d. Encourage all nurses to obtain geronto-logic certification.
B
Many older adults need acute care for sudden illness and injury but live in a state of functional decline, which could possibly be prevented by establishing a restorative therapy program. The other actions will help the older patients cared for in the unit, but only to limited degrees.
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Which of these actions illustrates the correct technique the nurse should use when assessing oral temperature with a mercury thermometer?
a. Wait 30 minutes if the patient has ingested hot or iced liquids. b. Leave the thermometer in place 3 to 4 minutes if the patient is afebrile. c. Place the thermometer in front of the tongue, and ask the patient to close his or her lips. d. Shake the mercury-in-glass thermometer down to below 36.6 ° C before taking the temperature.
After a class that described the differences between acute care nursing and community health nursing, which statement by the class about community health nurses indicates successful teaching?
A) Use a reactive approach B) Seek potential health problems C) Concentrate on the illness end of the continuum D) Emphasize curative care
The nurse is caring for a client during a sickle cell crisis. Which intervention does the nurse implement for the client?
a. Administer acetaminophen (Tylenol) as needed. b. Administer intravenous fluids to keep the vein open. c. Keep the room temperature at 80° F. d. Transfuse red blood cells (RBCs).
The NP orders a thyroid panel for a patient on amiodarone. The patient tells the NP that he does not have thyroid disease and wants to know why the test is ordered. Which is a correct response?
1. Amiodarone inhibits an enzyme that is important in making thyroid hormone and can cause hypothyroidism. 2. Amiodarone damages the thyroid gland and can result in inflammation of that gland, causing hyperthyroidism. 3. Amiodarone is a broad spectrum drug with many adverse effects. Many different tests need to be done before it is given. 4. Amiodarone can cause corneal deposits in up to 25% of patients.