The nurse caring for older patients in a long-term care facility is organizing a depression screening program for the residents. How will this screening program benefit the older patients?
1. Differentiates dysthymia from delirium
2. Supports care expectations of the older patients' family members
3. Depression symptoms are often associated with chronic illness and pain.
4. Depression is the easiest mood disorder to detect and treat in older patients.
3
Rationale: Screening an older patient for depression is not done to differentiate dysthymia from delirium. Older patients may experience persistent feelings of sadness but not meet the criteria for depression.
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The nurse is bathing a client with dementia who has been cooperating throughout the process. As the nurse prepares to bathe the client's genitalia, the female client starts screaming, "No! Don't touch me there! Rape!"
Which action by the nurse is the most appropriate? 1. Stop and assess the cause of the distress. 2. Explain that the client needs to be cleaned, but it will be done in a second. 3. Proceed with the bath but finish quickly. 4. Finish the bath without touching the genitalia.
A physician has ordered 250 ml of 0.9% sodium chloride to be infused over 2 hours. A microdrip infusion set is being used. What is the drip rate that the nurse should monitor?
1) 60 drops per minute 2) 75 drops per minute 3) 125 drops per minute 4) 250 drops per minute
Peripheral vascular disease occurs when atherosclerosis causes blockages in the
a. cerebral, vertebral, and carotid arteries. b. hepatic and renal arteries. c. pulmonary and myocardial arteries. d. abdominal aorta, iliac arteries, and femoral arteries.
What will initial management of the ankle involve to prevent further swelling and injury?
What will be an ideal response?