Physiological changes associated with aging place the older adult especially at risk for which nursing diagnosis?
a. Risk for Falls
b. Risk for Ineffective Airway Clearance (choking)
c. Risk for Poisoning
d. Risk for Suffocation (drowning)
A
Loss of muscle strength and joint mobility place older adults at risk for falls. Choking, drowning, and ingesting poisons are primary safety concerns for infants and toddlers.
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When the deceleration pattern of the fetal heart rate mirrors the uterine contraction, which nursing action is indicated?
a. Reposition the client. b. Apply a fetal scalp electrode. c. Record this reassuring pattern. d. Administer oxygen by nasal cannula.
The nurse is preparing to give a dose of trimethoprim-sulfamethoxazole (TMP-SMX) and learns that the patient takes warfarin (Coumadin). The nurse will request an order for
a. a decreased dose of TMP-SMX. b. a different antibiotic. c. an increased dose of warfarin. d. coagulation studies.
A nurse is obtaining an electrocardiogram on a patient and notices that minimal complexes are seen. What is the appropriate intervention in this situation?
A) Ask the patient to sit up during the testing. B) Ask the patient to hold his or her breath during the testing. C) Run longer strips. D) Reassess electrode placement.
A rapid infusion of blood has been given to the client. The nurse assesses the client for which one of the following?
a. Diaphoresis b. Anxiety c. Hypertension and tachycardia d. Nausea and vomiting