Which measure should the nurse recommend for inclusion in the plan of care for an older adult who has a nursing diagnosis of ineffective sexual patterns?
a. Play favorite music.
b. Schedule private time.
c. Provide a soft mattress.
d. Provide pain medication.
ANS: B
B. Sexuality is one of the basic physiological needs identified in Maslow's hierarchy for all individuals regardless of age. Privacy is a common problem in health care settings, so provide scheduled private time for sexual expression. A. C. D. Playing music and providing a soft mattress and pain medication may or may not be appropriate or desired to meet the older patient's sexual needs.
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Which action by the nursing assistant personnel will cause the nurse to intervene? a. Encouraging the patient to void before bedtime b. Offering to give the patient a backrub c. Giving the patient an extra blanket when cold d. Providing a warm cup of hot cocoa before bedtime
What do changes in cardiopulmonary resuscitation (CPR) techniques as recommended by the American Heart Association (AHA) include?
a. Compress the chest 100 times a minute. b. Depress the chest at least1 inch. c. Before compressions, administer three strong breaths. d. Elevate the patient's hips.
The Joint Commission publishes a Sentinel Event Alert every month. Which of the following is the best example of a sentinel event?
a. Tylenol #3 is given to a patient when plain Tylenol was ordered. b. Code pink is called after a newborn is discovered missing from the nursery. c. After receiving the correct medication, the patient complains of itching all over, and a rash is noted on the patient's trunk. d. During a blood transfusion, the patient's temperature increases to 100.4° F, and the patient complains of generalized pruritus.
Which nursing intervention(s) would be performed for a patient who is on diuretic therapy? (Select all that apply.)
a. Auscultation of lung sounds b. Assessment of skin turgor c. Initiation of electrolyte supplements d. Positioning techniques e. Monitoring of intake and output