A nurse is caring for an 86-year-old female patient who is very frail and unsteady on her feet. During the assessment, the patient indicates that she has fallen three times in the month. She has not injured herself to date
What is the nurse aware of a high potential for?
A) A hip fracture
B) A fracture of the mandible
C) An increased likelihood of confusion
D) Noncompliance with preventive teaching
Ans: A
Feedback: The most common fracture resulting from a fall is a fractured hip resulting from osteoporosis and the condition or situation that produced the fall. Falls have been associated with increased institutionalization of elderly patients.
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The signs and symptoms of both infection and inflammation include erythema, edema, and pain. What is considered the major difference between infection and inflammation?
a. Inflammation is a result of bacteria. b. Inflammation is a protective response. c. Inflammation is a disease process. d. Inflammation produces tissue damage.
A patient approaches the charge nurse and says, "I want to talk to the mental health advocate immediately about getting released." The unit has no patient phone, and agency policy does not permit patients to enter the nurses' station
Select the nurse's best initial action(s). You may select more than one answer. a. Tell the patient, "Get an order from your health care provider to leave the unit to make the call." b. Give the patient a pen and paper to write a note to the advocate. c. Provide the patient with a cell phone to make the call. d. Document the request in the patient's medical record. e. Promptly notify the advocate of the patient's request.
The nursing student is asked to administer a tepid bath to a child with a fever. The student avoids which of the following when performing this procedure?
1. Applies alcohol-soaked cloths over the child's body 2. Uses a water toy to distract the child during the bath 3. Places lightweight pajamas on the child after the bath 4. Squeezes water over the child's body, using the washcloth
A nurse who provides care on a geriatric subacute medicine unit is aware that elderly patients often exhibit signs and symptoms of infection that are very different from those of younger patients. This knowledge is an example of
A) recognizing changing clinical relevance. B) engaging in detective work. C) making qualitative distinctions. D) developing clinical knowledge about specific patient populations.