The nurse is discharging an 80-year-old client with diminished touch sensation. Which instruction does the nurse provide to promote client safety?
a. "Walk barefoot only in your home."
b. "Bathe in warm water to increase your circulation."
c. "Look at the placement of your feet when walking."
d. "Put throw rugs at the foot of your bed for cushioning."
C
Older clients with decreased sensation are at risk of injury from the inability to sense changes in terrain when walking. To compensate for this loss, the client is instructed to look at the placement of her or his feet when walking. The client also should wear sturdy shoes for ambulation. Throw rugs can slip and increase fall risk. Bath water that is too warm places the client at risk for thermal injury.
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An adult patient has symptoms of unstable angina during admission to the hospital. The most appropriate nursing diagnosis for the discomfort associated with angina is:
A) Deficient knowledge about underlying disease and methods for avoiding complications B) Anxiety related to fear of death C) Ineffective cardiopulmonary tissue perfusion secondary to CAD, as evidenced by chest pain D) Noncompliance related to failure to accept necessary lifestyle changes
Following a generalized seizure in a client, which nursing assessment is a priority for detailing the event?
A) Seizure began at 1300 hours. B) The client cried out before the seizure began. C) Seizure was 1 minute in duration including tonic-clonic activity. D) Sleeping quietly after the seizure
The nurse on a cruise ship is assessing clients for motion sickness. Which of the following is a common misconception?
A) Repeated motion is the cause. B) Once symptoms occur, they will always be present. C) Medications help the symptoms. D) Pallor and diaphoresis is a first symptom.
A patient diagnosed with emphysema is being prepared for surgery. What laboratory value should the nurse review to obtain information about the patient's respiratory status?
1. carbon dioxide 2. white blood cell count 3. serum creatinine 4. blood urea nitrogen