A patient with Alzheimer's disease has been determined to have a dressing/grooming self-care deficit. Which intervention(s) would be appropriate for this nursing diagnosis? Select all that apply
a. Replace personal clothing with gym clothes that all match each other.
b. Label the patient's clothing with his name and name of the item.
c. Provide clothing with elastic waistbands and hook-and-loop closures.
d. Administer anxiolytic medication before bathing and dressing.
e. If the patient is resistive, use distraction; then try again after a short interval.
f. If the patient moves too slowly to accomplish the task, perform it for him.
B, C, E
Labeling the patient's clothing with his name and the name of the item makes it easier for the patient to distinguish his clothes and choose items appropriately. Elastic waistbands and hook-and-loop closures simplify the motor skills needed in the dressing process. Persons with poor short-term memory tend not to sustain a particular mood; waiting and trying again often finds them in a different mood, particularly if a distracting activity is used between tries. Replacing the patient's personal clothing with new and unfamiliar clothing can be disorienting and can aggravate confusion. Antianxiety medications can cause sedation, increase confusion, and impair fine motor skills. Completing tasks for the patient reduces practice opportunities, hastening the loss of those skills.
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The first child of a couple is being treated for bronchopulmonary dysplasia (BPD). They ask how to prevent this from happening with the child they are currently expecting. What will the nurse explain as the best way to prevent BPD?
a. Maternal intake of folic acid b. Exercise c. Prevention of preterm birth d. Provision of oxygen therapy to the newborn
Which technique should the nurse use when providing information to a patient with a health literacy level of fifth grade?
a. Use the passive voice of language. b. Present the most important information first. c. Shift from subject to subject until the patient responds. d. Explain using jargon so the patient will understand others on the health care team.
The nurse is obtaining a thermodilution cardiac output measurement from a pulmonary artery catheter (PAC). Which techniques should the nurse use? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. Keep the injectate at least 10°F below room temperature. 2. Inject the injectate over 30–45 seconds. 3. Inject the injectate smoothly. 4. Inject the standard amount of injectate for the brand of catheter. 5. Perform three measurements 1 to 2 minutes apart.
A patient with diabetes who has bacterial pneumonia is being treated with IV gentamicin (Garamycin) 60 mg IV BID. The nurse will monitor for adverse effects of the medication by evaluating the patient's
a. blood glucose. b. urine osmolality. c. serum creatinine. d. serum potassium.