A hospitalized patient with impaired vision must get a picture in his or her mind of the hospital room and where the furniture and the bathroom are in order to move around independently
What must the nurse monitor in the patient's room?
A) That the bathroom floor is always dry
B) That all furniture remains in the same position
C) That visitors don't leave items on the bedside table
D) That the patient's slippers stay under the bed
Ans: B
Feedback: All articles and furniture must remain in the same positions throughout the patient's hospitalization.
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The nurse is caring for a client who requires an intervention the nurse does not know how to perform. Can the nurse delegate this intervention to another person?
1. No; the nurse should delegate only activities that he or she would be willing and able to do. 2. No; the nurse must transfer the accountability and responsibility for this client to another nurse who knows how to do the skill. 3. Yes; there is no requirement for the nurse to have personal knowledge or expertise in the skill. 4. Yes, but the nurse must then learn to perform the skill within a "reasonable" period of time.
The nurse asked a family questions about the cardiovascular history of all family members. This is an example of
a. Biologic risks b. Economic risks c. Lifestyle risks d. Social risks
An older adult patient received a hypnotic agent at 9:00 PM. At 2:00 AM, the nurse discovers that the patient has removed her gown and is attempting to get out of bed without assistance. What type of medication effect is the patient exhibiting?
a. Allergic b. Hypersensitivity c. Paradoxical d. Therapeutic
An 80-year-old is brought to the clinic by his wife. He has a history of peripheral vascular disease and type 2 diabetes
The wife states that he has not seemed himself for the preceding few days, noting that he has been lethargic and mildly confused at times and has been incontinent of urine. She reports that his blood glucose levels have been elevated. What is the most likely explanation for the client's change in mental status? A) Depression related to declining health B) Dementia related to advancing age C) Delirium related to underlying medical problem D) Transient ischemic attacks related to vascular disease and diabetes