What action by the nurse best shows an understanding of the effects of acute hospitalization on the functional abilities of the older patient?
a. Setting goals that support a short hospita-lization.
b. Attempting to adapt nursing care to indi-vidual needs
c. Administering a systematic functional as-sessment
d. Assessing for a decline from original baseline function
D
The nurse should assess for new onset signs or symptoms of a decline from baseline function and then implement appropriate interventions before they trigger a downward spiral of dependency and permanent impairment.
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A 50-year-old woman who is to undergo ileal conduit surgery has several appropriate questions. The best nursing diagnosis would be:
A) Self-care deficit related to the surgical procedure and creation of an ileal conduit B) Knowledge deficit about the surgical procedure and postoperative care C) Fear and anxiety related to the surgical procedure D) Risk of infection related to the surgical procedure
Antidepressants are given only orally
Indicate whether the statement is true or false
All of this information is obtained by the nurse who is admitting a client for a coronary arteriogram. Which information is most important to report to the physician before the procedure begins?
A. The client has had intermittent substernal chest pain for 6 months. B. The client develops wheezes and dyspnea after eating crab or lobster. C. The client reports that a previous arteriogram was negative for coronary artery disease. D. The client has peripheral vascular disease, and the dorsalis pedis pulses are difficult to palpate.
When developing the plan of care for a preterm newborn, the nurse plans to institute measures to promote the newborn's nutritional status. Which of the following would be least likely to affect the newborn's nutritional status?
A) Larger than usual stomach capacity B) Perinatal shunting of blood from the gut C) Ischemia of the intestinal wall D) Weak sucking reflex