The nurse teaches the older adult and her family the following fall prevention measures: Standard Text: Select all that apply
1. Remove scatter rugs.
2. Adapt living arrangements to one floor.
3. Day-and-time medication boxes can be helpful.
4. Keep bed in a low position.
5. Encourage frequent review of all prescribed medication.
1,2,4,5
Rationale 1: Clear walking paths protect the client with poor vision from tripping.
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A hospitalized older adult client suddenly does not recognize an adult daughter and states, "Why hasn't my wife come to see me?" The client's spouse has been dead for 5 years. Prior to the hospitalization, the client was clear of mind and thought
Which nursing diagnoses would be appropriate for this client? Select all that apply. A) Risk for Autonomic Dysreflexia B) Anxiety C) Acute Confusion D) Impaired Memory E) Ineffective Coping
The assessment of pain and anxiety is a continuous process. When critically ill patients exhibit signs of anxiety, the nurse's first priority is to:
a. administer antianxiety medications as ordered. b. administer pain medication as ordered. c. identify and treat the underlying cause. d. reassess the patient hourly to determine whether symptoms resolve on their own.
Severe contact dermatitis caused by poison ivy or poison oak exposure often requires treatment with:
1. Topical antipruritics 2. Oral corticosteroids for 2 to 3 weeks 3. Thickly applied topical intermediate-dose corticosteroids 4. Isolation of the patient to prevent spread of the dermatitis
The resident writes an order for D5W to infuse intravenously at 125 mL/hr. Does this order
concern you? If so, why? What will be an ideal response?