The nurse is making a home health visit to a frail but basically healthy 86-year-old patient. The nurse documents a heart rate of 104 beats/minute. What would be an appropriate action by the nurse?
a. Ask about liquids the patient is drinking and urination frequency.
b. Inform the physician of the heart rate immediately.
c. Teach the patient deep breathing exercises to reduce heart rate.
d. Have the patient request a tranquilizer from the physician at the next visit.
ANS: A
One of the first signs of dehydration is tachycardia. Further data are needed to report to the physician. Incontinent patients may limit fluid intake, resulting in dehydration.
You might also like to view...
In a disaster situation, which of the following is a method of prioritizing victims?
1. Triage 2. Assessment 3. Diagnosis 4. Disaster planning 5.
A child has blood testing for possible atopic dermatitis. The parent asks why testing for IgE is done. Which response by the nurse is the most appropriate?
A. "High levels of IgE from an overactive immune system are treated with steroids." B. "If we can control the levels of IgE, we can control your child's skin condition." C. "IgE is raised in allergies and asthma, which are often seen with atopic dermatitis." D. "These results will help us determine how your child's immune system is functioning."
One of your classmates is obese and tells you that exercise is too much work. To encourage your classmate to exercise more, you talk about some of the benefits of exercise which include which of the following? Select all that apply
a. boosts the immune response to disease d. decreases fat deposition b. improves flexibility and endurance e. increases fat deposition c. makes you feel better mentally f. improves cardiovascular function
A basic foundational principle of chiropractic care is that
a. Structure and function coexist. b. Chiropractic care is risk free. c. Human beings need external hands-on care to be healthiest. d. Subluxation will cause permanently restricted joint movement.