The nurse is aware that an older adult may become socially isolated related to the loss of __________. (Select all that apply.)
a. a spouse
b. friends to death or relocation
c. health
d. home
e. culture
ANS: A, B, C, D
An individual's culture does not have an influence on social isolation. Social isolation is related to the separation from family and friends, change in health, self-image, and financial limitations.
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A 73-year-old man who slipped on a small carpet in his home and fell on his hip is alert and oriented; PERRLA (pupils equally round and reactive to light and accommodation) is intact, and he has come by ambulance to the emergency department (ED)
Heart rate elevated, he is anxious and thirsty. A Foley catheter is in place and 40mL of urine is present. The nurse's most likely explanation for the urine output is: A) The man urinated prior to his arrival in the ED and will probably not need to have the Foley catheter kept in place. B) The man has a brain injury, lacks ADH, and needs vasopressin. C) The man is in heart failure and is releasing atrial natriuretic peptide, which results in decreased urine output. D) He is having a sympathetic reaction, which has stimulated the renin-angiotensin-aldosterone system that results in diminished urine output.
A female student is at a fraternity party where alcohol is flowing freely, the music is loud, and people are dancing and talking. Most people seem to be having a great time. What action should the student take, if anything, when she overhears two men talking about having put ketamine in a girl's drink?
a. First get out of there, then call the campus police and report what was heard b. Nothing, because she had no idea which woman was targeted or even if she drank what was given to her c. Talk to the two men about the dangers and side effects of ketamine d. Watch to see if any young women pass out or are otherwise impaired
The nurse contacts the client's case manager to provide information about the client's hospital treatment plan. This is an example of which type of advocacy?
a. Role modeling b. Educational informing c. Collaboration d. Anticipatory guidance
When assessing the breast and axillae, the nurse remembers that most lymph drains where?
A) Bilateral axillary nodes B) Bilateral mammary nodes C) Ipsilateral mammary nodes D) Ipsilateral axillary nodes