The nurse planning the care of a frail, malnourished, immobile patient recognizes which of the following as the best treatment to protect the patient's integument?
a. Offering the patient six small meals a day
b. Assisting the patient to sit in a chair three times a day
c. Turning the patient at least every 2 hours
d. Administering fluid boluses as directed by the healthcare provider
ANS: C
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A female patient has a history of frequent bladder infections. Which classification of diuretic would not be recommended for this patient?
A) Thiazide and thiazide-like diuretics B) Loop diuretics C) potassium-sparing diuretics D) Osmotic diuretics
Which is the most likely type of fracture to occur in an assisted-living center for older adults?
A) Wrist B) Shoulder C) Rib D) Hip
The nurse caring for a client diagnosed with peripheral vascular disease who is at risk for impaired skin integrity would include which of the following in the plan of care?
1. Keep the skin clean, dry, and moisturize areas of dryness 2. Dietary consult for low-protein diet 3. Restrict fluids 4. Encourage bed rest with legs elevated on pillows
During his initial screening, the patient's blood pressure was noted to be elevated. Two months after the first assessment, he was noted to have a blood pressure of 150/92 and 166/96 at different times during the visit
It is now a month and a half later, and the nurse is concerned because the patient's initial blood pressure on this visit was 154/94 . She is preparing to take a second blood pressure, understanding that another reading in this range could lead to a diagnosis of: a. hypotension b. prehypertension c. hypertension d. orthostatic hypotension