The nurse is preparing to assess balance in an older adult patient. Which test would the nurse plan on possibly omitting from the exam?
A) Romberg
B) Tandem walking
C) Gait
D) Hop on one foot
D
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A client has late-stage colon cancer with metastasis to the spine and bones. Which nursing intervention does the nurse add to the care plan to address a priority problem?
a. Provide six small meals and snacks daily. b. Offer the client prune juice twice a day. c. Ensure that the client gets adequate rest. d. Give the client pain medications around the clock.
Which of these intrinsic factors contributes to development of pressure ulcers?
a. impaired mobility c. friction b. shearing d. moisture
During the preoperational period the nurse recognizes that children
a. ask numerous questions to clarify a message. b. can process auditory information quickly. c. can clearly distinguish between fantasy and reality. d. misunderstand messages quite easily.
A nurse is caring for a Sunni Muslim patient. The nurse demonstrates cultural sensitivity by
a. allowing the patient to pray three times daily. b. placing the patient's dinner tray on top of the Koran. c. offering the patient food and fluids during Ramadan. d. positioning the patient's bed in a southeast direction from the United States.