The nursing care plan in a long-term care facility calls for the documentation of regressive behavior of a newly admitted 82-year-old resident who has had congestive heart failure and os-teoarthritis
Of these behaviors observed by the nurse, which should be documented as regres-sion? (Select all that apply.) a. Talks nonstop to staff and other residents
b. Wets and soils self several times a day
c. Wakes in the middle of the night and is unable to return to sleep
d. Wears the same clothes day after day
e. Cries frequently for no apparent reason
B, D, E
Behaviors that are infantile or immature in the absence of dementia are considered regressive. Frequent episodes of crying and inattention to personal hygiene are regressive in nature. Exces-sive talking and wakefulness may be related to relocation anxiety, but they are not considered regressive.
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The patient's pulse is below 60 . Because the nurse is aware that the patient is not receiving digoxin, the nurse believes that the bradycardia might be caused by:
a. low exercise tolerance. b. unrelieved severe pain. c. excessive bed rest. d. a prone position.
A nurse has collected the blood, urine, and stool specimens of a client with meningococcal meningitis. What will be done with these specimens after the testing is complete?
A) The specimens will be bagged and put in landfills. B) The specimens will be flushed and the containers incinerated. C) The specimens will be emptied into a plastic biohazard bag. D) The specimens will be flushed and the sealed containers will be washed.
The informatics nurse is reviewing a continuity plan to anticipate problems and minimize losses incurred by damage. Which should the nurse keep in mind as advantages associated with continuity planning? Select all that apply.
A) Strategies for correction of organization vulnerabilities B) Allowing time for restoration of equipment, facility, and services C) Means to capture information needed for regulatory and accrediting agencies D) Providing continuity of client records and delivery of care E) Complete protection against interruption in services
A prescription for a 5-year-old reads Amoxicillin ΒΌ of a 500 mg tablet every 8 hours for 5 days. The
pharmacy stocks Amoxicillin in both a chewable 125 mg tablet and suspension. What should you do? A. Dispense either a chewable tablet or liquid form of the medication. B. Consult with the pharmacist or authorized prescriber before changing the form of the medication. C. Dispense the medication as written, instructing the parent to break the tablets into four pieces. D. Dispense the medication as written, breaking the tablets prior to dispensing them.