A patient has type 2 diabetes. The family reports the patient has become very forgetful. What response by the nurse is best?
a. "We should assess her for Alzheimer dis-ease."
b. "Forgetfulness is a common sign in di-abetes."
c. "Have her blood sugars been under good control?"
d. "Does she recognize you and know your names?"
B
Many diabetics report depression and memory problems, so the nurse explains this fact. Forget-fulness does not necessarily indicate dementia. Asking about blood glucose is appropriate, but not related. Not recognizing family is not the same as forgetfulness.
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You are admitting a patient to your medical unit after the patient has been transferred from the emergency department. What is your priority nursing action at this time?
A) Identifying the immediate needs of the patient B) Checking the admitting physician's orders C) Obtaining a baseline set of vital signs D) Allowing the family to be with the patient
Documentation is a vital nursing role since the patient's health record:
a. should be completed accurately and in a timely manner. b. should not be computerized (EHR) because of disclosure risks. c. is not a legal document although they can be helpful in lawsuits. d. cannot be used in determining billing and reimbursement issues.
A nurse is required to clean the open wounds of a client who has been involved in an automobile accident. What intervention would the nurse need to perform when cleaning a client's open wounds to protect himself or herself from infection?
A) Wash hands with alcohol-based hand wash after the procedure. B) Wear a clean pair of latex or latex-free gloves. C) Use sterilizing acid to clean the injury. D) Use sterile solutions such as normal saline.
When caring for the elderly population, the nurse recognizes they are at risk for dehydration related to:
A) decline of the thirst mechanism in the hypothalamus. B) altered mobility. C) renal failure. D) excessive antidiuretic hormone (ADH) released by the posterior pituitary.