The nurse instructs the family of an older adult client with a visual impairment and decreased mobility that the most common problem for these clients is related to:
A) electrical cords
B) medication errors
C) falls
D) aspiration
Ans: C
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The risk of falls increases when a person of advanced age, impaired mobility, or both encounters these hazards.
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An adolescent patient recently attended a health fair and had a serum glucose test. The patient telephones the nurse and says, "My level was 125 mg/dL. Does that mean I have diabetes?" What is the nurse's most accurate response?
a. "Unless you were fasting for longer than 8 hours, this does not necessarily mean you have diabetes." b. "At this level, you probably have diabetes. You will need an oral glucose tolerance test this week." c. "This level is conclusive evidence that you have diabetes." d. "This level is conclusive evidence that you do not have diabetes."
After taking a patient's vital signs, a nurse removes the blankets used to cover the patient because the patient's temperature was
1. 100°F axillary. 2. 97.8°F rectal. 3. 99.1°F tympanic. 4. 10B.6°F oral.
Order: methenamine mandelate 500 mg, PO, q.i.d. Available: How many tablet(s) will be given per dose?
What will be an ideal response?
The nurse is explaining to a student nurse how to determine fetal presentation and position by performing Leopold's maneuvers. The nurse should explain that the second maneuver in this procedure is used to determine:
A. Whether the fetal head or buttocks occupies the uterine fundus. B. The location of the fetal back. C. Whether the head or buttocks lies in the pelvic inlet. D. The descent of the presenting part into the pelvis.