A client is admitted with the diagnosis of fluid volume deficit. The nurse realizes that the most important reason that the elderly are prone to fluid volume deficits is that:
1. it is difficult for people to drink fluids as they age.
2. the thirst mechanism in the medulla becomes less responsive with aging.
3. aging persons are more likely to experience urinary incontinence.
4. fluid loss increases with age.
ANS: 2
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A patient is being prepared for a spinal fusion. While in the holding area, which action by a member of the surgical team requires rapid intervention by the charge nurse?
a. Wearing street clothes into the nursing station b. Wearing a surgical mask into the holding room c. Walking into the hallway outside an operating room without the hair covered d. Putting on a surgical mask, cap, and scrubs before entering the operating room
Which of the following statements by a new graduate nurse should be corrected by an experienced nurse?
a. "Most older patients are ill and disabled. That's why we care for so many of them in the hospital." b. "Older adults are many times still interested in sexual relations." c. "Patients over age 65 are still lifelong learners." d. "Many older adult patients remain independent enough to live alone."
A client is receiving a continuous intravenous infusion. What should the nurse document in the medical record about this infusion?
1. Latest body temperature 2. Type of solution and flow rate 3. Total intravenous intake for the shift 4. Status of the intravenous catheter site 5. Results of blood pressure measurement
The client experienced abdominal surgery the previous day and has just received an opioid medication for report of pain. The client is sitting in a chair next to the bed. An additional activity that the nurse uses to relieve pain is
a) apply ice to the incision site for 30 minutes b) have the client deep breathe and hold c) encourage the client to watch television d) assist the client to ambulate on the nursing unit