The nurse is providing anticipatory guidance to the parents of an 18-month-old girl. Which guidance will be most helpful for toilet teaching?
A) Telling them either one may demonstrate toilet use
B) Assuring them that bladder control occurs first
C) Telling them that curiosity is a sure sign of readiness
D) Advising them to use praise, not scolding
D
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While caring for a critically ill patient, the nurse observes the family discussing funeral arrangements across the bed of the patient, who is intubated and sedated but awake. The family signs Do Not Resuscitate (DNR) request paperwork and leaves
The patient manages to communicate to the nurse that he does not want to die. What is the most appropriate nursing action? A) Adhere to the wishes of the family, since the patient is probably incompetent. B) Call a multidisciplinary conference with the family to resolve this conflict. C) Destroy the Do Not Resuscitate paperwork, since the patient wants to live. D) Apply the ethical principles of nonmaleficence and paternalism to the situation.
The health care team is caring for a patient with osteomalacia. It has been determined that the osteomalacia is caused by malabsorption. What is the usual treatment for osteomalacia caused by malabsorption?
A) Supplemental calcium and increased doses of vitamin D B) Exogenous parathyroid hormone and multivitamins C) Colony-stimulating factors and calcitonin D) Supplemental potassium and pancreatic enzymes
The nurse is providing care to an older adult client who was recently diagnosed with early osteoporosis. Which intervention is most appropriate for the nurse to implement with this client?
A) Providing the client with assisted range of motion exercising twice daily B) Instituting an exercise plan that includes weight-bearing activities C) Protecting the client's bones with strict bed rest D) Increasing the amount of calcium in the client's diet
An older adult patient with Alzheimer's disease is admitted to the hospital. The patient's spouse reports that the patient is often confused and gets lost walking to the store, which is three blocks from their home
That evening, the nurse observes the patient pacing the hall and screaming. What will the nurse do? a. Notify the provider of this patient's wor-sening symptoms. b. Prepare the patient's spouse for impending death from Alzheimer's disease. c. Request an increase in the medication dose to treat the exacerbation in symp-toms. d. Tell the spouse that this is an expected progression of the disease.