The nurse assesses the members of a senior center. For which of the following new findings should the nurse require immediate follow-up by the primary care provider?
A) Blood pressure of 96/62 mm Hg
B) Numbness of hands
C) Urinary incontinence
D) Opaque sclera
B
Feedback:
Numbness and tingling can be a subtle indication or neurologic problems. Blood pressure of 96/62 mm Hg is adequate for perfusion; the other findings can be followed up at a later date.
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A 72-year-old widow has just returned home after 2 weeks in the hospital after a fall. She lives alone and is visited weekly by her son. She takes digoxin, hydrochlorothiazide, and an antihypertensive drug
She also has a prescription for diazepam (Valium) as needed for moderate to severe anxiety. When the visiting nurse stopped by 2 days after discharge, he found the woman confused and disoriented, with an unsteady gait. The patient asks him who the small people are who have been living in her house. The patient had not evidenced any of these symptoms at the time of discharge. Vital signs were unremarkable except for bradycardia. The nurse correctly deduces that the most likely cause for the changes seen in the patient is: a. delirium. b. dementia. c. amnestic syndrome. d. drug toxicity.
After emptying the urine from a urinal, which actions by the nurse are appropriate?
Select all that apply. 1. Rinsing the urinal 2. Recording the output on the intake and output record, if indicated 3. Returning the urinal to the bedside area, where the client can reach it, if the male client prefers 4. Placing the urinal between the client's legs and propping the penis in the opening, if the client is unable to do this independently 5. Donning clean gloves
Regional anesthetics do not pass through the placenta; therefore, there is no risk to the fetus
Indicate whether the statement is true or false.
Which pediatric diagnoses require the nurse to include interventions to treat chronic pediatric client pain in the plan of care? Select all that apply
1. Juvenile idiopathic arthritis 2. Sickle cell disease 3. Attention deficit hyperactivity disorder (ADHD) 4. Cancer 5. Human immunodeficiency virus (HIV)