The nurse admits an 85-year-old client to the acute care facility and contributes which of the following goals related to the normal results of aging?
1. The client will remain infection-free at time of discharge.
2. The client will reduce weight by 15 pounds within the next two months.
3. The client will demonstrate improved exercise tolerance as pneumonia resolves.
4. The client will improve cardiac output by 10% after maintaining a low-sodium diet and reducing fluid volume excess.
1
Rationale: Aging clients have reduced immune response, and are more susceptible to infection, so an important nursing goal is to prevent a nosocomial infection. The other goals would be more appropriate for a client with a diagnosed medical problem, and are not related to the normal effects of aging.
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A patient is admitted to the emergency room in hypertensive crisis. The nurse is aware that hypertensive urgency differs from hypertensive emergency in that:
A) The BP is always higher in a hypertensive emergency. B) Extremely close hemodynamic monitoring is required during treatment of hypertensive emergencies. C) Hypertensive urgency is treated with rest and tranquilizers to lower BP. D) Hypertensive emergencies are associated with evidence of target organ damage.
Which manifestation would the nurse expect to find in a child with Down syndrome?
A) Downward slanting eyes with an epicanthal fold. B) A prominent brow and nose C) Wide, short hands and fingers D) Increased muscle tone and lack of flexibility
The condition in which a patient's heart is rotated or displaced to the right or is situated as a mirror image of the expected position is called:
a. amyloidosis. b. coarctation. c. dextrocardia. d. situs inversus.
A 26-year-old female with type 1 diabetes develops a sore throat and runny nose after caring for her sick toddler
The patient calls the clinic for advice about her symptoms and a blood glucose level of 210 mg/dL despite taking her usual glargine (Lantus) and lispro (Humalog) insulin. The nurse advises the patient to a. use only the lispro insulin until the symptoms are resolved. b. limit intake of calories until the glucose is less than 120 mg/dL. c. monitor blood glucose every 4 hours and notify the clinic if it continues to rise. d. decrease intake of carbohydrates until glycosylated hemoglobin is less than 7%.