The nurse is using the Katz Index of Activities of Daily Living during the assessment of an older adult patient. Which finding indicates the patient is independent?
1) The patient is able to get in and out of the tub without assistance.
2) The patient gets dressed but needs help with tying the shoes.
3) The patient does not get out of bed.
4) The patient feeds self but receives assistance with buttering bread.
ANS: 1
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A nurse plans care for a client who is recovering from an inguinal hernia repair. Which interventions should the nurse include in this client's plan of care? (Select all that apply.)
a. Encouraging ambulation three times a day b. Encouraging normal urination c. Encouraging deep breathing and coughing d. Providing ice bags and scrotal support e. Forcibly reducing the hernia
The nurse is preparing a patient for discharge with a prescription for sucralfate (Carafate) and teaches the patient to take the medication when?
A) With meals B) With an antacid before breakfast C) 1 hour before or 2 hours after meals and at bedtime D) After each meal
A significant instruction to a patient being discharged after ear surgery is to:
1. use stool softeners with caution. 2. assume your usual activities. 3. avoid blowing your nose. 4. shampoo your hair with baby shampoo.
The client asks the nurse why an ACE inhibitor has been prescribed following an MI. What is the best response by the nurse?
1. "This medication will lower your potassium level." 2. "ACE inhibitors have been found to reduce mortality following MI." 3. "ACE inhibitors are always prescribed with a beta blocker and calcium channel blocker following an MI." 4. "This medication will treat your hypotension."