What factors are most likely to contribute to the problem of hypothermia that older adults may face intraoperatively and postoperatively? (Select all that apply.)
A) The normal body temperature of older adults that is often lower
B) The cool temperature of the operating rooms
C) The use of medications that slow metabolism
D) Fever from infection
A, B, C
Feedback:
Factors that contribute to the problem of hypothermia include the lower normal body temperatures of many older persons, the cool temperature of operating rooms, and the use of medications that slow metabolism. Fever does not cause hypothermia.
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The home health nurse prepares to teach a Hispanic patient who neither speaks nor reads English how to measure and administer insulin. The most helpful teaching tools would be:
1. a booklet from the American Diabetes Association explaining the effects of too much or too little insulin. 2. a nutrition MyPyramid explanation, discussing amounts of each food group needed each day. 3. an alarm clock, magazine pictures showing sunrise and sunset, several clean insu-lin syringes, and insulin bottles filled with colored water. 4. a large sheet explaining the need for washing hands, times, amounts of insulin to inject, and the nurse's home phone number.
Creating an artificial opening in the abdominal wall and bringing a section of the colon to it for elimination purposes is called a/an
A. colectomy. B. colostomy. C. ileostomy. D. gastrectomy.
Which member of the health care team (RN, LPN/LVN, dietitian, UAP) should perform the tasks related to the care of the patient with chronic pancreatitis? (More than one member may perform some tasks.)
A. Weigh daily at the same time of day, and record the findings. B. Administer pancreatic enzymes with meals as ordered. C. Evaluate the effectiveness of the pancreatic enzyme therapy. D. Teach about long-term dietary management. E. Assist to eat a food tray with high-carbohydrate and low-fat foods. F. Observe for respiratory complications such as dyspnea or orthopnea. G. Assess for previous use of nonpharmacologic pain relief strategies. H. Assess daily for pancreatic ascites and measure abdominal girth.
The nurse is assisting with teaching a 56-year-old office manager who reports engaging in all of the following activities. Which one should the nurse explain most likely increased his risk for developing prostatitis?
a. Drinking three to four martinis each night after work b. Having sexual intercourse with his wife once a week c. Sitting for long periods in his office d. Bowling once a week with the office team