What is a primary concern of the nurse regarding fluid and electrolytes when caring for the older adult who is intermittently confused?
1. Risk of kidney damage
2. Risk of stroke
3. Risk of bleeding
4. Risk of dehydration
4. Risk of dehydration
Rationale:
As an adult ages, the thirst mechanism declines. In a client with an altered level of consciousness, this can increase the risk of dehydration and high serum osmolality. The risks for kidney damage, stroke, and bleeding are not specifically related to aging or fluid and electrolyte issues.
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A nurse manager and a human resources (HR) manager are developing an interview guide for registered nurse positions in critical care units
How should this document be structured? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. The questions should be specific to the registered nurse position. 2. Questions should be general enough that they will guide the interview for any critical care unit. 3. Sufficient room should be allowed between the questions so that notes on the interview can be written directly on the guide. 4. Questions should require independent answers and should not be leading. 5. The document should allow space for demographic information such as name, gender, and age.
An example of one strategy to improve participation in the change process by staff fitting the behavioral descriptions of laggards, early majority, late majority, and rejecters is to:
a. Encourage teamwork. b. Transfer to a different unit. c. Require attendance at staff meetings. d. Delegate the roles and tasks of change.
The nurse is caring for a patient who was given meperidine (Demerol) during labor. In planning care for the patient's newborn, the nurse should closely assess the newborn for:
1. Body temperature. 2. Stool pattern. 3. Bilirubin level. 4. Urine output.
A nursing student is working as a home health aide. The patient asks the aide to give a medication, and the aide calls the nurse for permission to perform this task. Which is the correct response by the nurse?
a. "I can authorize you to give this medication." b. "If you have taken a pharmacology course, you may give the medication." c. "You may assist the patient to self-administer the medication." d. "You should never assist with medications in the home setting."