A nurse documents the following assessment on an older adult client's chart: "dry, thin skin." Which of the following nursing diagnoses would be appropriate for this client?
A) Risk for falls
B) Risk for imbalanced body temperature
C) Risk for infection
D) Risk for sedentary lifestyle
Ans: C
The dry, thin skin of elderly clients is prone to infection.
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The nurse has described the recommended diet for a client who is at high risk for gout. Which statement by the client would indicate a need for further education?
1. "This diet sounds like a healthy one for anyone to follow." 2. "As long as I can have my diet cola, I can tolerate the rest of the diet." 3. "I don't like seafood or chicken much anyway, so cutting down on meat will be easy." 4. "I have considered becoming a vegetarian in the past. This might be a good time to try that option."
A woman enters the emergency room and begs the nurses to "help" her. As the nurse assisting her, your first assessment would be:
A) "From your perspective, please explain what happened to you." B) "Has this ever happened to you or any of your other family members before?" C) "What is it that you want us to do for you?" D) "Would you like me to call your parents?"
Carotid endarterectomy should only be considered for symptomatic patients with greater than what percent stenosis?
a. Greater than 25% c. Greater than 75% b. Greater than 50% d. Only for 100% occlusion