A group of students is reviewing information about the frail elderly and functional status. The students demonstrate understanding when they identify which as an instrumental activity of daily living?
A) Bathing
B) Cooking
C) Toileting
D) Eating
B
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The patient is experiencing a fluid volume overload from excess intravenous fluids. Assuming that normal kidney function exists, what hormone actions would the nurse expect?
A) Hypothalamic secretion of antidiuretic hormone B) Adrenal secretion of renin C) Reduction of renin and aldosterone functions D) Increased conversion of angiotensin I to angiotensin II
A patient with a T-2 injury is in spinal shock. The nurse will expect to observe what assessment finding?
A) Absence of reflexes along with flaccid extremities B) Positive Babinski's reflex along with spastic extremities C) Hyperreflexia along with spastic extremities D) Spasticity of all four extremities
The cardiac nurse wants to know about the best practices to prevent pneumonia after open-heart surgery. What does the nurse do first?
a. Critically appraise relevant evidence. b. Implement acceptable recommendations. c. Ask clinical experts for their opinions. d. Search for evidence to answer the ques-tion.
The nurse is planning to assist with a lumbar puncture. The most vital nursing action prior to the procedure is:
A) starting an IV and connecting a heart monitor. B) contacting the lab for a blood type and cross-match. C) emphasizing the importance of not moving during the procedure. D) obtaining a lumbar puncture kit.