Mrs. J, age 79, presents with acute abdominal pain at the ER. She is found to have an ovarian cyst
Surgery is promptly and successfully performed. Because Mrs. J lives alone, she is transferred to a short-term care facility where she can recover until her daughter can travel from another state to take her home. While in the care facility, Mrs. J, who is already underweight and frail, refuses to eat. She begins to lose weight rapidly. In developing a care plan for Mrs. J, her gerontological nurse can best strengthen Mrs. J's self-care capacity by:
A) Making sure her meals are attractive and seasoned well
B) Planning and ordering nutritious meals for her
C) Monitoring her nutritional status through observations of skin turgor and muscle strength
D) Obtaining a menu from the facility's kitchen from which she can order foods she prefers
D
Feedback:
The holistic model of gerontological care emphasizes promoting self-care. Therefore, empowering Mrs. J to make her own choices and control her meals is the best choice. The other options may be used if Mrs. J's capacity is diminished.
You might also like to view...
The nurse is acting as the triage nurse in the emergency department when a 16-year-old boy is brought in by his friends. The patient is in respiratory distress, he is vomiting, and blood is noted in the vomitus
He is somnolent and his electrocardiogram shows an arrhythmia. The boy's friends tell you he was taking a "bunch of little green pills" he got from the cupboard at his grandparent's house. The nurse suspects what? A) Overdose of sleeping pills B) Poisoning C) Anaphylactic shock D) Allergic reaction to Dyazide
A client has been diagnosed as having impaired swallowing and complains of frequent heartburn. The nurse should:
1. Assist the client in maintaining a sitting position for 30 minutes after the meal. 2. Teach the client the "chin tuck" technique when swallowing. 3. Check the client's mouth for pocketing of food. 4. Assist the client to a 90°sitting position, or as high as tolerated, during meals.
Which prescribed intervention will the nurse implement first for a patient in the emergency department who is experiencing continuous tonic-clonic seizures?
a. Give phenytoin (Dilantin) 100 mg IV. b. Monitor level of consciousness (LOC). c. Obtain computed tomography (CT) scan. d. Administer lorazepam (Ativan) 4 mg IV.
During a digital rectal exam (DRE) on a 75-year-old man, the clinician suspects the patient has prostate cancer. What physical finding should make the clinician suspicious?
a. An enlarged rubbery gland c. A tender gland b. A hard irregular gland d. A boggy gland