An emergency department triage nurse receives a phone call from an older adult who states, "I am experiencing pain across my left side. It is tingling, and really hurts when it gets touched." Which of the following response by the nurse is most
A) "Do you have the pain right now?"
B) "Have you taken any medications?"
C) "Notify your primary health care provider today."
D) "When did this pain start?"
Ans: C
Burning, shooting, knife-like, tingling, and pins and needles are common symptoms of neuropathic pain (in this case shingles). Over half of the cases of shingles occur in older adults. Peripheral neuropathy results in pain along the distribution of peripheral nerves. The other questions are not the priority at this time.
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A group is working to increase the number of advanced nurse practitioners (ANPs) who have hospital admitting privileges. Which barriers should these nurses address?
Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. There is no Medicare regulation mandating medical staff membership of APNs. 2. The fees associated with obtaining admitting privileges are prohibitive for ANPs. 3. State laws concerning ANP admitting privileges are confusing and contradictory. 4. Some state laws limit the scope of ANP practice. 5. Some hospitals do not allow non-physicians to admit patients.
The older person's ability to remember, dream, and exercise behavioral control is a factor most related to:
1. biologic age. 2. psychological age. 3. social age. 4. chronological age.
The nurse in the assisted living facility notices that a resident seems to be restless most nights and sits in the lounge area reading. When questioned, the client reports suffering from insomnia
The resident tells the nurse this is "not a big deal.". Which of the following does the nurse expect as an outcome if the client continues with this pattern of sleep? 1. The nurse is concerned about the liability created by a resident who is unsupervised in the lounge areas. 2. The nurse recognizes that insomnia is linked to cardiac dysfunction if it is not managed. 3. The nurse is aware that the client's ability to adequately function during the day may be hindered by these episodes. 4. The nurse is concerned that the client is demonstrating significant underlying problems.
The school nurse is working with teenaged parents and their babies in a high school program designed to keep these parents in school and to teach them how to care for their children. The nurse teaches the mothers to change diapers on:
a. a soft towel that can be washed as needed b. a washable surface that is disinfected after each use c. upholstered furniture that can be wiped off d. a changing station with a cushioned cover