An older adult who is a resident in an extended-care facility would be at risk for which of the following nutritional deficits? (Select all that apply.)

a. Repetitive nature of meals
b. Lack of culturally significant food
c. Environmental odors
d. Reaction to being fed by others
e. Non-nutritious food choices


ANS: A, B, C, D
Although the food is nutritious, the repetitive nature of the menu, the lack of culturally significant food, and environmental concerns alter the motivation to have adequate intake.

Nursing

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The patient is ready to be discharged from the hospital. When should discharge planning begin?

A) The day prior to discharge B) The day of estimated discharge C) The day the patient is admitted D) Once the nurse determines care needs

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The nurse understands that apomorphine is sometimes used for clients with Parkinson's disease:

a. to facilitate restfulness. b. as a rapid "rescue" from a "frozen" state. c. to reverse the depressive effects of acetylcholine. d. as an analgesic for painful muscle spasms.

Nursing

When performing a neurovascular check, a nurse should do which of the following? Select all that apply

1. Ask the patient if he or she is experiencing numbness, burning, or tingling in the affected limb. 2. Test sensation of the affected and unaffected limbs by touching each with a paper clip. 3. Ambulate the affected limb to check for mobility. 4. Ask the patient to move the fingers or toes of the affected extremity. 5. Test capillary refill in the nailbeds of the fingers or toes distal to the surgical site or cast.

Nursing

A client comes to the clinic complaining of a new onset of nipple discharge. After inspection of the breast and discharge, what action of the nurse has the highest priority?

a. Palpating both breasts comparing amount of discharge b. Asking the client about breast pain c. Asking the client to raise her arms and comparing the movement of the breasts d. Obtaining a specimen of the discharge for cytology

Nursing