Because the 80-year-old patient is prone to dehydration related to the age-related change of decreased thirst and kidney function, the nurse monitors for the earliest sign of dehydration, which is:
a. reduced skin turgor.
b. constipation.
c. increased temperature.
d. thirst.
B
Constipation is the best early indicator of dehydration in the older adult. Older adults have age-related poor skin turgor. Increased temperature and thirst are later signs of dehydration.
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A patient needs to lose weight. The nurse has assessed the patient to be in the contemplation stage of Prochaska's transtheoretical model of change. Which intervention by the nurse would be most appropriate?
a. Give the patient a referral to a dietician for teaching. b. Help the patient devise a log to record all food eaten. c. Provide information on the benefits of losing weight. d. Teach the patient small, simple steps for weight loss.
A nurse is developing a drinking prevention presentation for adolescents. Which areas should the nurse include in the teaching session?
a. Stressful life events and scholarships b. Very high self-esteem and work failure c. Health problems and avoidance of conflict d. Stress management and improving self-esteem
A low-risk patient’s vaginal exam reveals that her cervix is dilated to 8 cm with 75% effacement. How frequently should the nurse assess this patient's blood pressure, pulse, and respirations?
1. Every 5 minutes 2. Every 10 minutes 3. Every 15 minutes 4. Every 30 minutes
The nurse is not familiar with the cultural background of new parents who have recently immigrated to the United States. What statement is best?
1. "You appear to be Muslim. Do you want your son to be circumcised?" 2. "Let me explain how newborn care takes place here in the United States." 3. "Your baby is a U.S. citizen. You must be very happy about that." 4. "Could you explain what your preferences are regarding child care?"