The nurse is performing a functional assessment on an 82-year-old patient who recently had a stroke. Which of these questions would be most important to ask?
a. "Do you wear glasses?"
b. "Are you able to dress yourself?"
c. "Do you have any thyroid problems?"
d. "How many times a day do you have a bowel movement?"
ANS: B
Functional assessment measures how a person manages day-to-day activities. For the older person, the meaning of health becomes those activities that they can or cannot do. The other responses do not relate to functional assessment.
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You notice that your 75-year-old Jewish patient, Mrs. Stern, is sending her meal tray back with much food uneaten. What would be an appropriate response?
a. Tell her she must eat the food she is given to aid healing and recuperation b. Remark that you notice she is not eating much and ask her if she follows a kosher diet c. Tell the dietitian to send Mrs. Stern a kosher diet without saying anything to her first d. Ask her family if she is a fussy eater
An activity a nurse engaged exclusively in community-based primary prevention would implement
is a. substance abuse counseling. b. teaching parenting skills. c. medication follow-up. d. depression screening.
Assuming that all other factors remain the same, increased blood pressure would most likely result in
A. decreased interstitial fluid B. Increased blood osmatic pressure c. Increased interstitial fluid D. decreased blood osmatic pressure
What action should the nurse take to ensure the safe administration of prescribed medications to a client? Select all that apply
1. Validating the healthcare provider's order 2. Checking two forms of client identification 3. Leaving a client's medications at the bedside 4. Returning a mislabeled medication to the Pharmacy 5. Deciding to report a medication error later in the shift