The nurse expresses concern about a female nursing home resident in the team meeting. Which resident information determines the team's priority in planning her care?
a. Experiences several interruptions with sleep
b. Has had coronary bypass graft surgery during the last year
c. Needs increasing help with personal hy-giene
d. Eats insufficient calories to maintain her weight
C
The resident's ability for self-care is deteriorating, and needing help with personal hygiene is an indicator of declining health because the level of activity is an indicator of an individual's health and wellness. Thus declining health is the nurse's priority in planning care. Assessing and ad-dressing medical problems, such as heart disease and nutrition, and improving sleep are among the aspects of care to restore health and well-being for which the nurse will plan. Improving sleep patterns is part of the overall plan to restore her health and wellness. A history of coronary artery disease is important information to use to plan care; however, it is part of the plan to improve the woman's overall health. Improving nutrition is part of the overall plan to restore her health and wellness.
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Which of the following is required in order for a nurse to be legally justified in not attempting to save a client's life?
A) A "Do Not Resuscitate" (DNR) statement on the patient's care plan B) A "No-Code" sign or symbol placed at the patient's bedside C) A "No-Code" order written and signed on the physician's order sheet D) The next of kin's request for DNR orally or in writing
After abdominal surgery, a client has difficulty coughing, saying, "It hurts too much." The nurse should teach the client to:
1. ask for pain medication if the pain is severe. 2. support the abdomen with a pillow during the coughing exercises. 3. turn and deep-breathe without coughing. 4. cough without straining the abdomen.
A client is receiving multiple ophthalmic drugs. Which of the following ophthalmic preparations would the nurse administer to the client for the purpose of treating increased intraocular pressure? Select all that apply.
A) Brimonidine (Alphagan) B) Apraclonidine (Iopidine) C) Tobramycin (TobraDex) D) Ofloxacin (Ocuflox) E) Ganciclovir (Vitrasert)
The nurse is preparing an educational program regarding adverse drug reactions (ADR). What information should the nurse include? Select all that apply.
1. Older adults are more likely to have adverse drug events. 2. Drug side effects that are serious are considered ADRs. 3. Adverse drug reactions are handled on an outpatient basis. 4. Adverse drug reactions are often due to anticoagulants or antidiabetics. 5. Reactions can occur from drug-drug interactions and polypharmacy.