The nurse is creating the plan of care for an elderly client admitted for prostatic surgery. The client is on medication for hypertension and had a recent fall at home prior to admission
The nurse would include which of the following in the care plan? 1. Monitor blood pressure every 2 hours
2. Assess postural blood pressures
3. Monitor serum sodium levels
4. Monitor serum creatinine levels
2. Assess postural blood pressures
Rationale:
Baroreceptors are less efficient with aging. Therefore, orthostatic hypotension is more likely to occur. Also, clients treated for hypertension could have an increase in sensitivity to the medications. Postural blood pressure assessment allows the nurse to prevent orthostatic hypotension and falls. Every 2 hours is too frequent for assessments of a noncritical client. Sodium intake and creatinine levels assess renal function.
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Which situation meets the criteria of sexual favoritism or preferential treatment?
1. The female nurse agrees to meet a male nurse for coffee after work. 2. A homosexual male employee divulges his sexual preference to his co-workers. 3. A nurse is awarded a position after having an affair with a supervisor. 4. A nurse reports another nurse who makes a disparaging remark about a lesbian co-worker.
Which actions would result in a greater number of nurses entering and staying in practice, given today's state of nursing? (Select all that apply.)
a. Determine why few African-American women enter graduate school. b. Provide incentives for minorities and men to enter nursing. c. Obtain grant funding to increase the number of faculty members and scholarship availability for students entering baccalaureate nursing programs. d. Survey nurses to determine why their job satisfaction is lower than that of other health care professions. e. Develop ad campaigns that target younger students.
A nurse in an acute care facility helps patients understand how to prevent diabetic neuropathies. This nurse is functioning in the role of:
a. change agent. b. educator. c. manager. d. coordinator.
Why is the study of culture so important for psychiatric nurses in the United States? Select all that apply
a. Psychiatric nurses often practice in other countries. b. Psychiatric nurses must advocate for the traditions of the Western culture. c. Cultural competence helps protect patients from prejudice and discrimination. d. Patients should receive information about their illness and treatment in terms they understand. e. Psychiatric nurses often interface with patients and their significant others over a long period of time.