The nurse is assessing an older adult patient's hydration status. The nurse observes that a fold of skin on the upper chest returns to normal position
The nurse should conclude that hydration is adequate if the skin returns to normal position in how many seconds?
a. 6 seconds
b. 9 seconds
c. 10 seconds
d. 15 seconds
A
If the tented skinfold takes more than 8 seconds to return to normal position, the patient is con-sidered to be dehydrated.
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The nurse is conducting a home visit on a newborn. What observation would require the nurse to provide further education?
a. The caregiver warms the bottle and tests heat on the inside of the wrist. b. The parents state the infant is sleeping with them until they buy a crib. c. One parent states that when the child gets frustrating, the other parent takes over. d. Caregivers consistently wash their hands before holding the baby.
A nursing instructor is presenting a class for a group of students about community-based nursing interventions
The instructor determines that additional teaching is needed when the students identify which of the following as a role of the community-based nurse? A) Conducting childbirth education classes B) Counseling a pregnant teen with anemia C) Consulting with a parent of a child who is vomiting D) Performing epidemiologic investigations
The client is adhering to the Acceptable Macronutrient Distribution Ranges (AMDRs) in his diet. He knows that adhering to the AMDRs has been associated with which of the following?
A) A reduced risk of type 1 diabetes mellitus B) Weight loss C) A modest decrease in chronic disease risk D) A reduced rate of breast cancer
The feeling experienced by a patient that should be assessed by the nurse as most predictive of elevated suicide risk is
a. hopelessness. b. sadness. c. elation. d. anger.