When an 86-year-old client complains of inability to concentrate, uneasiness, lightheadedness, weakness, muscle and joint discomfort, and demonstrates normal temperature, the clinic nurse recalls that
A) Without an elevated temperature, infection is not present
B) The client's symptoms are typical of an elderly client
C) The elderly can have an infection without a fever
D) An infection was present and has dissipated
Ans: C
You might also like to view...
The mother of a patient has requested that she and the rest of the family be allowed to be present in the patient's room in the event that the patient requires resuscitation. The nurse, however, is reluctant to comply with this
What is the most likely reason she does not want the family in the room during resuscitation? A) Family members who are present during resuscitations may experience more anxiety. B) Family members present during resuscitation are more likely to sue. C) The nurse is new and is not comfortable with having the family present. D) A dedicated staff person is required to attend to the family during resuscitation.
A patient with a diagnosis of gastric cancer has been unable to tolerate oral food and fluid intake and her tumor location precludes the use of enteral feeding. What intervention should the nurse identify as best meeting this patient's nutritional needs?
A) Administration of parenteral feeds via a peripheral IV B) TPN administered via a peripherally inserted central catheter C) Insertion of an NG tube for administration of feeds D) Maintaining NPO status and IV hydration until treatment completion
Clients with obsessive-compulsive disorder (OCD) may be concerned about which of the following signs and symptoms?
A) Fear of situations in which they may capture the attention of others B) Delayed anxiety response C) Psychic numbing D) Performing ritualistic behaviors
What is the priority nursing diagnosis for the client with hypothyroidism?
A. Hypothermia B. Disturbed Body Image C. Disturbed Thought Processes D. Imbalanced Nutrition: More than Body Requirements