OBRA requires that nursing centers have which of the following?
a. Hand rails in good repair
b. One closet space to share
c. Warmer than usual temperature levels
d. Loud music played overhead throughout the center
A
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When collecting a urinary elimination history, which item is not appropriate for the nurse to question during this process?
1. History of erectile dysfunction 2. History of stress incontinence 3. History of labor and delivery 4. History of urinary frequency or difficulty starting the flow
The nurse is reviewing laboratory studies of an 85-year-old client admitted for pneumonia. The client has had a decrease in appetite and has not eaten well in the past few days
The BUN is elevated but the creatinine clearance is within normal values. The nurse's assessment of this finding would indicate the need to A) inform the physician of the BUN result. B) assess urine output. C) assess intake and output and dietary intake of protein. D) monitor the client for medication side effects related to decreased excretion by the kidneys.
The nurse, caring for a client diagnosed with dehydration, should do which of the following to assess for the restoration of fluid volume?
1. Monitor blood pressure. 2. Observe changes in skin turgor. 3. Check weight daily. 4. Assess oral mucous membranes.
What is very important to note on a client's new stoma in the immediate postoperative period?
a. blood c. shape b. color d. size