The nurse is caring for an 80-year-old client who has had coronary artery bypass graft surgery. Which assessment does the nurse prioritize for this client?
a. Skin
b. Otoscopic
c. Mental status
d. Gastrointestinal
C
Assessment of mental status is important because older adults are more likely to experience tran-sient neurologic deficits as compared with younger adults. The other assessments are not a prior-ity for this client.
You might also like to view...
The LPN/LVN is giving change-of-shift report to the oncoming nurse. Report on the client who has just been admitted from the Emergency Department for an asthma attack should include: Standard Text: Select all that apply
1. Name, age, and room number. 2. A list of the client's problems. 3. Visitors who have seen the client, including clergy. 4. Head-to-toe review 5. A medication list.
The nurse is reviewing amniocentesis results. Care was appropriate if the client:
1. Who is Rh-positive received RhoGAM after the amniocentesis. 2. Was monitored for 30 minutes after completion of the test. 3. Began vaginal spotting before leaving for home after the test. 4. Identified that she takes insulin before each meal and at bedtime.
The student studying the renal system learns that the kidneys have several functions. Which options are functions of the kidneys? (Select all that apply.)
A. Filtering the blood B. Maintaining electrolyte balance C. Regulating acid-base balance D. Removing waste products E. Suppressing hormone release
A solitary cold nodule on Radioactive Iodine (RAI) uptake on a thyroid scan is suspicious for:
A. Hyperthyroidism B. Myxedema C. Trigeminal neuralgia D. Thyroid Cancer