Prerequisites for the nurse working with the geriatric patient include an understanding that:

1. there is a need for specialized knowledge.
2. the geriatric patient will be physically impaired.
3. most geriatric patients will develop dementia.
4. the geriatric patient will need to be closely supervised.


1
Knowledge, understanding, and caring are prerequisites for working effectively with older adults.

Nursing

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An essential nursing measure to prevent peritonitis after a paracentesis is

a. thoroughly cleansing the skin of the abdominal wall. b. examining ascites for bacteria. c. providing oral or intravenous fluids. d. maintaining sterile technique during the procedure.

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Both men and women experience bone loss with aging. The bones most likely to demonstrate significant loss are:

1. Cortical bones 2. Femoral neck bones 3. Cervical vertebrae 4. Pelvic bones

Nursing

A nurse is working at a specialized clinic for patients with chronic obstructive pulmonary disease (COPD). Each year, the nurse recommends that patients get the influenza vaccine from their primary care provider,

but notices that there are a lot of older women who do not get the vaccine, despite the recommendations. What should the nurse do first? A. Print educational materials about the importance of yearly flu shots. B. Set up low-cost transportation to local primary care providers for the women. C. Start offering the flu shot at the COPD clinic. D. Perform a focused community assessment to determine why these women aren't getting the flu shot.

Nursing

Yolanda Parks is a pediatric home health nurse working with a new client, Maria, a 9-year-old diagnosed with leukemia. Maria is receiving chemotherapy and radiation, and a bone marrow transplant may be necessary

During her initial home visits, Yolanda interviews Maria, her parents, and her 5-year-old sister. In planning care for Maria and her family, Yolanda should: 1. Assess each member of the family individually and the family as a unit in terms of working through the crisis. 2. Direct the greatest amount of her assessment on the coping skills of Maria's parents to ensure that they will be able to handle the illness. 3. Focus most of her care on Maria, because Maria is her client, and Yolanda is being reimbursed based on delivery of care to her. 4. Refer this case to a social worker or psychologist who can better meet the needs of the entire family.

Nursing