The UAP notifies the nurse of these vital signs for a client on the medical-surgical unit: temperature 97.6°F, respirations 22, pulse 122, and BP 98/72. Which is the best action the nurse should do next?
A. Ask the UAP to reassess the client.
B. Inform the UAP to document these vital signs.
C. Reassess the client to validate these vital signs.
D. Notify the healthcare provider of these vital signs.
Answer: C
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Assessment of nutritional status may include
a. Observation of the older adult while eating b. Keeping a food journal of what and how much is eaten c. Questions about the older adult's food shopping and cooking practices d. All of the above
An older patient with dementia is referred for adult day services (ADS). The patient's daughter asks the nurse about the benefits of ADS. The nurse considers which of the following in formu-lating a response? (Select all that apply.)
a. ADS are designed to provide social and some health services for older adults. b. ADS are covered under Medicare Part B. c. ADS offer respite services for caregivers from the responsibilities of caregiving. d. ADS often provide educational programs and support groups for caregivers. e. ADS are all staffed with registered nurses.
The nurse is working with a client who is in denial. Before attempting to break down the client's defense mechanisms and cope with the stressor, the nurse should determine that the client is able to:
1. speak clearly and articulately. 2. use one or more alternative ways of coping. 3. financially afford long-term psychological services, such as counseling. 4. correctly identify that denial is actually being used.
At her age, what is her risk of getting breast cancer if she has the BRCA1 gene?
A 51-year-old cook comes to your office for consultation. She recently found out that her 44-year-old sister with premenopausal breast cancer is positive for the BRCA1 gene. Your patient has been doing research on the Internet and saw that her chance of having also inherited the BRCA1 gene is 50%. She is interested in knowing what her risk of developing breast cancer would be if she were positive for the gene. She denies any lumps in her breasts and has had normal mammograms. She has had no weight loss, fever, or night sweats. Her mother is healthy and her father has prostate cancer. Two of her paternal aunts died of breast cancer. She is married. She denies using tobacco or illegal drugs and rarely drinks alcohol. Her breast and axilla examinations are unremarkable. A) 10% B) 50% C) 80%