The nurse is discharging an older woman who uses a walker from rehabilitative care. Which observation does the nurse use to determine whether the patient is prepared for discharge?

a. She holds the front of the walker.
b. She has a walker with four wheels.
c. She takes four steps into the walker.
d. She takes the walker to the elevator.


D
The older adult uses the elevator to travel between floors of a building, demonstrating that she knows not to use a walker on the stairs and is thus safe to discharge. Older adults should use the arms of a walker for stability. A walker with four wheels can be easy to move; however, such ease of movement does not provide enough stability to be suitable as an assistive device. To use a walker correctly, she should take two steps at a time into the walker.

Nursing

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Brett has just been diagnosed with pernicious anemia. He comes to you, as the physician's nurse, to give him more information. Discuss the diagnosis of pernicious anemia

a. What is the client lacking to have this disorder? b. What does the body need for nutrition that it is unable to get and why? c. Explain the etiology and pathophysiology of this disorder. d. How is this disorder diagnosed? e. What would you expect to see for signs and symptoms? f. What is the medical management and nursing considerations for this type of client?

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What specific gravity of the urine is desired so that hemorrhagic cystitis is prevented?

a. 1.035 b. 1.030 c. 1.025 d. 1.005

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Abnormal findings on assessment of the tonsils include:

A) Smooth surface. B) Glistening texture. C) Left and right tonsils meet at midline. D) Lack of discharge from the surface mucosa.

Nursing

The nurse is caring for a 1-year-old hospitalized child who is in Bryant traction. Which intervention would be the highest priority for this child?

A) Remove elastic bandages once a day B) Report continuous loud crying or irritability C) Keep the hips elevated off of the bed D) Provide sensory stimulation

Nursing