The home care nurse notes that an older patient who lives alone has a large red mark on the arm. When asked about the mark the patient states unawareness of the injury and believes it occurred from hot water when cooking
How should the nurse interpret this finding? 1. The patient is at risk for further injury.
2. The patient is losing short-term memory.
3. The patient is experiencing friction tears of the skin.
4. The patient is demonstrating senile purpura of the skin.
1
Rationale: With normal aging there is a gradual decline in both touch and pressure sensations, causing the older adult to be at risk for injury such as burns and pressure sores.
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An older adult patient has been using levothyroxine (Synthroid) for several years on an outpatient basis. The patient has recently sought care, with complaints that are consistent with hypothyroidism
To which of the patient's following statements may the nurse attribute the decreased effect of Synthroid? A) "I've been using a lot of antacids lately because of my indigestion." B) "My daughter and I have started the Atkin's diet to try to lose some weight." C) "Overall, I'd say that I'm under a lot of stress lately." D) "I've stopped taking aspirin for my arthritis and started using Tylenol."
As a result of dehydration, a client's epithelial cells are producing insufficient amounts of mucus. Consequently, the client's mucociliary blanket is compromised
Which of the following changes would the care provider anticipate as a direct result of this change? A) Impaired function of the client's cilia B) Decreased levels of oxygen saturation C) Increased amounts of bacteria in the lungs D) Increased carbon dioxide levels
A client recovering from a bariatric surgery is assisted by the multidisciplinary health care team. As the client watches the nurse take care of medication administration, treatment, and the coordination of care,
the client perception of the nurse as the bedside caregiver is pronounced. Which of the following can assist nurses to improve the scholarly nursing research image of professional nursing? A) Improve relations with other disciplines who value practice, not research B) Focus awareness on the public's image of the practice nurse C) Communicate nursing research's improvements to health outcomes D) Identify opportunities to teach others the value of the practicing nurse
A psychiatric aide tells the nurse, "I don't quite understand what staff members mean when they mention deinstitutionalization." The best response for the nurse would be to explain that deinsti-tutionalization refers to:
1. A set of activities clients use in their routine daily lives 2. A reimbursement system providing a set amount of money for services for a single client 3. Clinical coordination of inpatient and outpatient services to prevent duplication and lower costs 4. Discharge of chronically ill clients from psychiatric inpatient facilities into the community