The nurse is caring for an 80-year-old long-resident in a term care facility. Which intervention(s) should the nurse plan to enhance blood flow? (Select all that apply.)
a. Apply light blankets over legs while sit-ting.
b. Elevate legs frequently.
c. Encourage walking.
d. Avoid tight compression stockings.
e. Maintain a warm environment.
A, B, C, E
Interventions that may enhance blood flow include using light blankets while sitting, elevating legs, encouraging exercise, and maintaining a warm environment. Compression stockings are beneficial.
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Delirium is best defined as
A) excessive, nonpurposeful motor activity. B) generalized cognitive deficits with gradual onset. C) reversible organic mental impairment. D) sleeplessness and agitation.
After a mammogram, a client is told that she needs a fine needle aspirate of a breast mass. Which actions by the client demonstrates engagement in a primary appraisal of the stressful situation?
A) Holding her breath while the nurse is talking B) Sitting in the dressing room and cries C) Asking the nurse if she has cancer D) Scheduling the procedure in 6 weeks, which is the earliest possible appointment
A patient with a history of angina asks the nurse whether it is safe to use pseudoephedrine for allergic rhinitis. Select the nurse's best response
a. "It is safe, provided you follow the instructions on the label." b. "It is safe to use this agent if you are also using nitroglycerin." c. "Rebound congestion is more common when a person with angina takes pseudoephedrine." d. "These agents should not be used by patients with any form of heart disease."
The nurse is monitoring for the four categories of risk that have been identified in the health care environment. Which examples will alert the nurse that these safety risks are occurring?
a. Tile floors, cold food, scratchy linen, and noisy alarms b. Dirty floors, hallways blocked, medication room locked, and alarms set c. Carpeted floors, ice machine empty, unlocked supply cabinet, and call light in reach d. Wet floors unmarked, patient pinching fingers in door, failure to use lift for patient, and alarms not functioning properly