hile completing an assessment the nurse is concerned that an older client is experiencing anemia. Which findings are most concerning for anemia? Select all that apply.
1. Pale, cool, and dry skin
2. Diffuse joint and bone pain
3. Decreased interest in meals
4. Heart rate 112 beats/minute
5. Dyspnea on exertion
2. Diffuse joint and bone pain
3. Decreased interest in meals
4. Heart rate 112 beats/minute
5. Dyspnea on exertion
Explanation: 1. Manifestations of anemia in an older client include pallor. Having a pale skin tone and exhibiting pallor are different findings, however. Pale, cool, dry skin is not specifically concerning for anemia in the older adult client.
2. Manifestations of anemia in an older client can include joint pain.
3. Depression, apathy, and decreased food intake can be signs of anemia in the older adult client.
4. Tachycardia, palpitations, and even angina can result from the decreased cardiac output from anemia.
5. Dyspnea on exertion is a manifestation of anemia in an older client.
You might also like to view...
When palpating for pulsus alternans, the nurse will detect a pulse
A) that alternates in strength every other beat. B) that is weak and thready at intermittent times. C) alternating in rhythm ranging from 60 to 100 beats/min. D) difficult to palpate due to a rapid, irregular rate.
A young mother was very proud because she had been taking her 9-month-old with her to various garage sales where she had purchased a lot of toys for very little money. Which of the following would be the most appropriate response by the nurse?
a. "Be sure there are no small pieces as young children can easily choke." b. "Fantastic. Saving money on toys will allow you to buy more fresh fruits and vegetables." c. "Toddlers love new toys; they will help with cognitive development." d. "You are doing an excellent job of giving your child lots of stimulation with new playthings."
The nurse is caring for a preschool-aged client who is in pain secondary to a compound fracture resulting from a motor vehicle crash. The nurse recognizes which items as true when providing care to this client?
Select all that apply. 1. It is best for the nurse to reason with the child in managing the pain. 2. The child will often respond with crying and anger because he perceives pain as a threat to security. 3. Try to avoid touching or holding the child to reduce the level of pain. 4. Appeal to the child's belief in magic by using a magic blanket to take away pain. 5. The child might consider pain a punishment for previous misbehaviors.
The partner of a client at 16 weeks' gestation accompanies her to the clinic. The partner tells the nurse that the baby just doesn't seem real to him, and he is having a hard time relating to his partner's fatigue and food aversions
Which statement would be best for the nurse to make? 1. "If you would concentrate harder, you'd be aware of the reality of this pregnancy." 2. "My husband had no problem with this. What was your childhood like?" 3. "You might need professional psychological counseling. Ask your physician." 4. "Many men feel this way. Feeling the baby move in a few weeks will help make it real to you."