Which factors will the nurse consider when calculating the CURB-65 score for a patient with pneumonia (select all that apply)?
a. Age
b. Blood pressure
c. Respiratory rate
d. Oxygen saturation
e. Presence of confusion
f. Blood urea nitrogen (BUN) level
ANS: A, B, C, E, F
Data collected for the CURB-65 are mental status (confusion), BUN (elevated), blood pressure (decreased), respiratory rate (increased), and age (65 and older). The other information is also essential to assess, but are not used for CURB-65 scoring.
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A nurse is caring for a client after internal fixation of a compound fracture in the tibia. The nurse finds that the client has not had his dinner, seems restless, and is tossing on the bed
Keeping in mind that the client is a Latino, what is the most appropriate response by the nurse? A) "Are you having pain in your leg?" B) "Tell me what you are feeling." C) "Do you need pain medication?" D) "Are you feeling alright?"
The nurse is aware that 80% of urinary tract infections (UTIs) in females are the result of contamination from __________
Fill in the blank(s) with correct word
A patient moving from chair to chair in the day room and pacing in the hallway repeatedly, rapidly, and for extended periods is likely demonstrating _________ , and the nurse should __________
a. a dystonic reaction…administer PRN IM benztropine (Cogentin) b. anxiety… teach and guide the patient to use relaxation exercises c. akathisia…administer PRN diphenhydramine (Benadryl) PO d. tardive dyskinesia…recommend a change in medication
The nurse recognizes the high incidence and prevalence of polypharmacy among older adults. Which of the following measures should the nurse take to prevent and resolve polypharmacy among these clients?
A) Encouraging clients' physicians and pharmacists to carefully review clients' medication administration records to identify potential interactions B) Instructing older adults to ensure that at least 2 hours elapse between taking each of their medications C) Teaching older adults to ensure that they have all of their prescriptions filled at only one pharmacy D) Informing clients that they should temporarily withhold their medications if they experience side effects