A nurse plans care for an 83-year-old client who is experiencing age-related sensory perception changes. Which intervention should the nurse include in this client's plan of care?
a. Provide a call button that requires only minimal pressure to activate.
b. Write the date on the client's white board to promote orientation.
c. Ensure that the path to the bathroom is free from equipment.
d. Encourage the client to season food to stimulate nutritional intake.
ANS: C
Dementia and confusion are not common phenomena in older adults. However, physical impairment related to illness can be expected. Providing opportunities for hazard-free ambulation will maintain strength and mobility (and ensure safety). Providing a call button, providing the date, and seasoning food do not address the client's impaired sensory perception.
You might also like to view...
A child has had a heart transplant. In preparation for discharge, the nurse provides teaching about home medications
The nurse recognizes that postoperative teaching has been successful when the parents state that the child is on cyclosporin A to: 1. Treat hypertension. 2. Reduce serum cholesterol level. 3. Prevent rejection. 4. Treat infections.
To determine cultural influences on a client's diet, the nurse should first:
a. evaluate the client's weight gain during pregnancy. b. assess the socioeconomic status of the client. c. discuss the four food groups with the client. d. identify the food preferences and methods of food preparation common to that culture.
The nurse is reinforcing dietary teaching with the caregiver of a child diagnosed with celiac syndrome. Which foods would be permitted in the diet of the child with celiac syndrome? (Select all that apply.)
A) Corn flakes B) Bananas C) Skim milk D) Rye bread E) Oatmeal F) Applesauce
A client asks about the benefits of having a copper intrauterine device (IUD) inserted for birth control. What is the nurse's most accurate response?
Standard Text: Select all that apply. 1. "The copper works like a spermicide to slow sperm motility." 2. "Even if an egg becomes fertilized, the device will not let it become implanted in the uterus." 3. "The device can be left in place for up to 10 years." 4. "It is a birth control option for someone who cannot take estrogen or progesterone." 5. "The device has no adverse effects."