An 87-year-old patient has been admitted to the unit. This patient has problems with fine motor movement. What would be important to do for this patient?
A) Open all packages and arrange the meal tray while communicating actions to the patient
B) Teach the patient to call for assistance when getting up to bathroom
C) Evaluate for assistance devices
D) Assess gross motor function
A
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A nurse cares for older clients who have traumatic brain injury. What should the nurse understand about this population? (Select all that apply.)
a. Admission can overwhelm the coping mechanisms for older clients. b. Alcohol is typically involved in most traumatic brain injuries for this age group. c. These clients are more susceptible to systemic and wound infections. d. Other medical conditions can complicate treatment for these clients. e. Very few traumatic brain injuries occur in this age group.
The nurse is informed during shift report that the assigned client has a wide pulse pressure, is hypertensive, and has a pulse deficit
When the nurse enters the client's room, which assessments would the nurse perform in order to confirm this report? 1. Blood pressure and apical pulse assessments 2. Blood pressure and radial pulse assessment 3. Blood pressure and respiratory rate assessment 4. Blood pressure and radial-apical pulse assessment
A nurse is educating the staff nurses about ketoacidosis. To evaluate the group's understanding, the nurse asks, "Which of the following signs and symptoms would not be consistent with ketoa-cidosis?" The group gives the correct answer, which
is a. a blood glucose of 600. b. a blood glucose of 60. c. acidosis. d. ketones in the urine.
A 5-year-old is hospitalized with a fractured femur. Which of the following assessment tools are appropriate for this age child? Select all that apply
1. Faces pain scale 2. Oucher scale 3. Visual analog scale 4. CRIES scale 5. Poker chip tool