An older adult client informs the nurse, "I just don't feel like myself. I cry so easily and my mobility is so bad from my degenerative disk disease in my back. " What factor is most likely contributing to the client's depression?
A) Pain
B) Shortness of breath
C) Hearing loss
D) Diminished vision
Ans: A
Feedback:
Many factors place an older adult at risk for depression, including recent bereavement, a change in environment, alcohol or substance use, and chronic pain.
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The nurse is caring for a patient with a suspected cyanide exposure. The patient is anxious and hyperventilating. What is the nursing priority of care?
A) Give antiseizure medications. B) Send toxicology screen. C) Give cyanide antidote. D) Obtain history of exposure.
When providing care for a person who does not speak English, it can be helpful to speak more loudly than normal
Indicate whether the statement is true or false
In which instance would the nurse accept informed consent from a 13-year-old patient?
Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. If the child is consenting to treatment for an emergency surgery 2. If the child is consenting to treatment for a venereal disease 3. Under no circumstances can a 13-year-old give valid consent. 4. When the parents are not readily available 5. The patient is seeking treatment for drug dependency.
The client has all the following clinical manifestations. Which one alerts the nurse to the probability of septic shock?
A. Hypotension B. Pale, clammy skin C. Anxiety and confusion D. Oozing of blood at the IV site