What is the priority nursing diagnosis for an 89-year-old patient with frequent liquid stools?
A) Imbalanced nutrition: less than body requirements
B) Deficient fluid volume
C) Deficient knowledge related to medications
D) Pain related to abdominal cramping
B
Feedback:
Fluid volume deficits may develop rapidly in older adults with diarrhea. Older adults are more likely to develop adverse effects associated with the use of these drugs, including sedation, confusion, dizziness, electrolyte disturbances, fluid imbalance, and cardiovascular effects. Although nutrition, pain, and knowledge deficit may be concerns for this patient, they are not the priority concern.
You might also like to view...
A patient is at the clinic to have her blood pressure checked. She has been coming to the clinic weekly since she changed medications 2 months ago. The nurse should:
a. Collect a follow-up data base and then check her blood pressure. b. Ask her to read her health record and indicate any changes since her last visit. c. Check only her blood pressure because her complete health history was documented 2 months ago. d. Obtain a complete health history before checking her blood pressure because much of her history information may have changed.
The nurse is giving a bath demonstration for a group of new mothers. An important piece of information she gives this group is to:
a. apply baby powder generously to keep baby dry. b. cleanse perineum from front to back. c. use scented soap to make baby smell good. d. partially submerge head in water when shampooing.
The clinic nurse schedules a yearly Pap test for the woman on Implanon and an appointment to replace this birth control method in:
A) 12 months B) 24 months C) 36 months D) 48 months
An example of one strategy to improve participation in the change process by staff fitting the behavioral descriptions of laggards, early majority, late majority, and rejecters is to:
a. Encourage teamwork. b. Transfer to a different unit. c. Require attendance at staff meetings. d. Delegate the roles and tasks of change.