Which of the following must always be within reach of the patient for the patient's safety?
A. Call light
B. Bedpan
C. Emesis basin
D. Urinal
Answer: A
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Which assessment is the greatest priority to report when considering the gastrointestinal (GI) changes that take place in the geriatric patient?
a. 24-hour urinary output of 1450 mL b. 24-hour dietary intake of 75% of meals c. Last bowel movement 4 days ago d. Weight loss of 2 lb since admission 2 months ago
Which of the following would be a priority nursing diagnosis for the 73-year-old male patient with heart failure?
a. Constipation related to immobility b. Risk for infection related to IV lines c. Activity intolerance related to an imbalance of oxygen and demand d. Self-care deficit
A patient diagnosed with breast cancer responded by gathering information about treatment options and becoming involved in a self-help group. The nurse assesses that the patient is demonstrating which personality characteristic?
a. Independence b. Hardiness c. Self-control d. Tolerance
When a patient is admitted after abusing a hallucinogenic substance, the care plan must be altered to include interventions for:
a. dangerously elevated blood pressure. b. deep coma-like sleep. c. cardiac arrhythmias. d. provision of safety to reduce injury.