When reviewing an older client's medical record, which findings lead the nurse to perform a nutrition assessment? (Select all that apply.)
a. Widow/widower status
b. Chronic constipation
c. History of depression
d. Random blood sugar level of 198 mg/dL
e. Cholecystectomy 4 years ago
f. Inability to afford a new pair of glasses
A, B, C, F
Many factors contribute to malnutrition in older clients. Depression and loneliness from the loss of a spouse; constipation; poor eyesight; chronic medical problems, including depression; and taking prescription and/or over-the-counter medications can contribute to malnutrition. Blood glucose levels and a previous cholecystectomy would not necessarily contribute.
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What antiepileptic classification of drugs works by stabilizing nerve membranes by influencing ionic channels in the cell membrane, thereby decreasing excitability and hyperexcitability to stimulation?
A) Hydantoins B) Benzodiazepines C) Valproic acid D) Carbamazepine
The nurse has noticed a change in the type of care needed to support maternal and child health issues. What does the nurse realize as reasons for the changes in care? (Select all that apply.)
A) Smaller families B) Less domestic violence C) More employed mothers D) Stable home environments E) More single-parent families
The client tells the nurse that the top of the cast feels rough and is scratching the skin. Which intervention should the nurse implement?
1. Explain that this is an expected outcome. 2. Trim away sharp areas and edge with tape. 3. Medicate client with a prescribed analgesic. 4. Speak with the provider about a cast change.
When admitting a patient, pay particular attention to
A) the patient's clothing. B) what the visitors tell you. C) the patient's personal belongings. D) the condition of the patient's skin.