A home health nurse was making an initial visit to an elderly man. As the nurse began the assessment, the wife gave all the information requested. What does the nurse need to do next?
A. Because the nurse has all the needed information, appropriate interventions must be agreed upon with the family.
B. Having the information, the nurse should now decide upon appropriate nursing diagnoses.
C. The next step is to assess the environment of the wider community.
D. The nurse needs to confirm with the client as the nurse has heard only the wife's perspective.
ANS: D
You might also like to view...
The new mother who just gave birth tells the nurse, "I don't know anything about babies, so I want you to teach me everything you can to help me be a good mother
" What nursing diagnosis would be most appropriate for this patient? Readiness for Enhanced: a. Breastfeeding b. Communication c. Family Coping d. Parenting
Before beginning an IV infusion of oxytocin (Pitocin) to induce labor, the nurse obtains an obstetric history that includes which of the following? Select all that apply
A) Parity B) Stillbirths C) Abortions D) Previous obstetric problems E) Type of labor
Which of the following interventions will decrease the risk of aspiration for the client who has dysphagia and requires assistance with eating?
A) position the client at a 45? angle to eat B) provide thin and clear liquids C) Finely puree solid foods so it slides down easily D) keep the client upright for an hour after eating
It is July in Atlanta, and 90°F in the shade. An 80-year-old client who lives alone in an apartment is struggling to stay cool. What functional consequence of the aging process increases this client's susceptibility to heat exhaustion and heat stroke?
A) Delayed and diminished sweating B) Impaired peripheral blood circulation C) Renal insufficiency D) Changes in endocrine regulation