The nurse is concerned that an older patient with a chronic illness is on a trajectory towards frailty and dependence. From the nursing assessment findings listed, which is the priority?
1. Sustained cognitive impairment
2. Conditions controlled with medications
3. Family that phones several times a day
4. A decline in functional ability
4. A decline in functional ability
Explanation: 1. A cognitive impairment may have a greater impact on an older person's function than does osteoarthritis. This client's cognitive impairment is sustained.
2. Many chronic conditions, such as osteoporosis and hypertension, are controllable with medications and do not automatically lead to frailty.
3. Social support from family will prevent the patient from moving on the trajectory towards frailty and dependence.
4. Disabling effects and progression of symptoms may be controlled or halted with careful treatment and monitoring, but if the client is declining in these areas, they may be on a trajectory towards frailty.
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A client asks the nurse if it is possible for a vegetarian to consume too much fat. The nurse replies:
1. "Yes, because they often use too much oil or fat while cooking or sautéing vegetables.". 2. "No, because they use complementary proteins which are low in fat.". 3. "Yes, because they may consume non-meat or dairy foods that are high in fat.". 4. "No, because they tend to consume only plant-based, healthy fats.".
When caring for infants with atopic dermatitis, the nurse anticipates that these children have a tendency to develop which disorder as they get older?
A) Hemophilia B) Asthma C) Rheumatoid arthritis D) Otitis media
The nurse is supervising care in the emergency department. Which situation requires immediate intervention?
1. Bright red bleeding with clots at 32 weeks' gestation; pulse = 110, blood pressure 90/50, respirations = 20. 2. Dark red bleeding at 30 weeks' gestation with normal vital signs; client reports the presence of fetal movement. 3. Spotting of pinkish brown discharge at 6 weeks' gestation and abdominal cramping; ultrasound scheduled in 1 hour. 4. Moderate vaginal bleeding at 36 weeks' gestation; client has an IV of lactated Ringer solution running at 125 mL/hour.
During a three-month period, a registered nurse has missed work on 6 occasions due to an unreliable car or an ill child. Another nurse has missed 10 days due to minor foot surgery. Which nurse is the more reliable employee?
1. The nurse who has missed due to voluntary absence 2. The nurse who missed because of involuntary absence 3. The nurse who missed voluntarily because she is healthier 4. Neither, because of excessive absenteeism