An older adult client is admitted with fractured femurs sustained in a motor vehicle crash. Once the client is stabilized, what should the nurse assess in this client?
A) Blood pressure
B) Need for assistance once discharged to home
C) Car insurance carrier
D) The client's accident history
Answer: D
The client is older and has sustained severe injuries from a motor vehicle accident. This is a leading cause of death of older clients in the United States. The nurse needs to find out if this is the client's first motor vehicle accident because the client might need to relinquish his driver's license after a medical review of driving privileges. The nurse should assess the client's blood pressure and need for assistance once discharged to home; however, these interventions are not a priority. The nurse does not need to know the car insurance carrier.
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A patient is responding poorly to interventions aimed at treating shock and appears to be transitioning to the irreversible stage of shock. What action should the intensive care nurse include during this phase of the patient's care?
A) Communicate clearly and frequently with the patient's family. B) Taper down interventions slowly when the prognosis worsens. C) Transfer the patient to a subacute unit when recovery appears unlikely. D) Ask the patient's family how they would prefer treatment to proceed.
Patients with myxedema are at high risk for any surgical procedure because of
a. decrease cardiac output. c. thrombocytopenia. b. overhydration. d. respiratory failure.
The nurse is assessing an older female patient admitted to the hospital for generalized weakness and a cough. Which assessment findings indicate normal changes of aging? Select all that apply.
1. Blood pressure of 160/90 2. Needing to urinate every 3 hours 3. Needing to wear eye glasses for reading 4. Pulse rate 110 bpm 5. Respiratory rate 22 per minute after walking a short distance
The nurse observes that the families who do not show up for scheduled clinic appointments are usually from minority cultural groups. The best explanation for this is that these families often differ from the dominant culture because they:
a. lack education. b. avoid health care. c. are more forgetful. d. view time differently.