During an examination to assess glycemic control, the client voices concerns about developing dementia. He asks about things that can be done to promote his mental health. What information can be given to the client? Select all that apply
A) Maintain tight glycemic controls.
B) Remain active in social groups and clubs.
C) Avoid stress.
D) Obtain flu and pneumococcal vaccines annually.
A, B
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An elderly patient with several comorbidities has experienced a massive upper GI hemorrhage from esophageal varices. No treatment has been initiated yet. What signs and symptoms does the nurse expect?
A) Tachycardia and hypotension B) Alert and oriented times 3 C) Mild anemia without hypoxemia D) Normal peripheral circulation
In teaching the pregnant adolescent about nutrition, the nurse should
a. Emphasize the need to eliminate common teen snack foods, because they are too high in fat and sodium. b. Determine the weight gain needed to meet adolescent growth and add 35 lb. c. Suggest that she not eat at fast-food restaurants, to avoid foods of poor nutritional value. d. Realize that most adolescents are unwilling to make dietary changes during pregnancy.
A client has been ordered a thrombolytic medication. Why is it important for the nurse to obtain a comprehensive medication history for this client?
1. Many patients are allergic to this medication. 2. Thrombolytics cannot be given to a patient with a history of asthma. 3. Thrombolytics will stop bleeding. 4. Thrombolytics are contraindicated in patients with active bleeding or with a history of recent trauma.
The nurse is looking after a client who has abdominal cramps, dizziness, and a rapid and thready pulse. The client's laboratory results show hyponatremia. Which of the following additional signs can the nurse expect?
a. Postural hypotension b. Tetany c. Dry skin and dry mucous membranes d. Elevated temperature and flushed skin