The nurse should suggest which of the following to a spouse of a patient with dementia who has displayed inappropriate sexual behavior to decrease the occurrence? (Select all that apply.)
a. Intimate relations c. Kiss
b. Hug d. Touch
B, C, D
Inappropriate sexual behavior may be triggered by unmet intimacy needs or may be symptoms of an underlying physical problem, such as a urinary tract or vaginal infection. Encouraging family and friends to touch, hug, kiss, and hold hands when visiting may help meet the patient's touch and intimacy needs and decrease inappropriate sexual behavior.
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A 2-year-old boy has been diagnosed with physiologic cryptorchidism. Considering this diagnosis, during assessment the nurse will most likely observe:
a. Testes that are hard and painful to palpation. b. Atrophic scrotum and a bilateral absence of the testis. c. Absence of the testis in the scrotum, but the testis can be milked down. d. Testes that migrate into the abdomen when the child squats or sits cross-legged.
The nurse is counseling an elderly client about vitamin supplementation. Due the diminished secretion of hydrochloric acid and poor absorption the nurse recognizes that the client would benefit most from an increase in which vitamin?
1. B-6 2. B-12 3. B-2 4. B-3
The nurse preparing to infuse vancomycin will monitor the client for:
Standard Text: Select all that apply. 1. loss of hearing and balance. 2. reddening upper body with dizziness. 3. confusion or hallucinations. 4. abnormal liver function. 5. fever and chills.
During the assessment of an elderly client, the nurse learns the client takes a laxative every evening to ensure a daily morning bowel movement. The nursing diagnosis appropriate for this client would be:
a. Constipation. b. Perceived constipation. c. Risk for infection. d. Bowel incontinence.