An elderly woman living alone at home is incontinent of urine. Which of the following nursing diagnoses would be appropriate for a plan of care?
A) Risk for Activity Intolerance C) Risk for Falls
B) Risk for Impaired Skin Integrity D) Risk for Infection
B
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A patient is incontinent during a seizure and sleeps for several hours afterward. What type of seizure did the patient most likely have?
a. Absence b. Simple partial c. Status epilepticus d. Tonic-clonic
Which of a gerontological nurse's following teaching points about the role of sensory function in older adults are accurate? (Select all that apply.)
A) "Sensory deficits are a threat not only to quality of life but to safety as well.". B) "A healthy lifestyle can prevent the sensory losses that many people assume to be inevitable.". C) "Sensory deficits have a negative effect on older adults' social integration and relationships.". D) "Impaired communication is a common result of sensory losses.". E) "Older adults may have difficulty correctly perceiving their physical environment when sensory deficits exist.".
The nurse is prioritizing care needed for a group of clients according to urgency. Which care should the nurse identify as being medium priority?
Select all that apply. A) Instructing on changing ostomy appliance B) Performing passive range of motion every 4 hours C) Removing splints and providing complete skin care every 2 hours D) Administering 2 units of fresh frozen plasma E) Performing endotracheal suction
A nurse is assessing a healthy, older adult patient for an exercise program to be offered at the local hospital. During the evaluation, the nurse notes the following vital signs: P = 72, RR = 16, BP = 132/70
After 3 minutes of moderate-intensity running on the treadmill, the patient becomes short of breath and states, "I have to stop. I can't do this anymore." The nurse measures his vital signs again: P = 152, RR = 40, BP = 172/98. She instructs him to rest. Vital signs return to baseline after 15 minutes. The nurse should recognize his symptoms as associated with which of the following? a. Anxiety b. Orthostatic hypotension c. Limited activity tolerance d. Respiratory distress