The nurse is planning care for an older patient who exhibits low blood pressure. What should the nurse include in this plan that addresses age-related vascular changes?
Select all that apply.
1. monitoring hemoglobin level
2. monitoring the effects of medications
3. encouraging frequent position changes
4. monitoring lower extremities for edema
5. assessing skin for evidence of inflammation
Correct Answer: 2, 3, 4, 5
Because of age-related changes to the tunica media, blood pressure can decrease. This can lead to inadequate tissue perfusion and subsequent edema, inflammation, pressure ulcers, and changes in the effects of medications. Monitoring the hemoglobin level addresses an age-related change in the bone marrow that can lead to anemia in the older patient.
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A nursing student's classmate watched the student who performs a head-to-toe assessment of a patient and is now pointing out some errors in the student's assessment technique. The student feels that the classmate has made some unfair judgments
How should the student respond to this classmate? A) Ask another classmate to come and listen to the conversation B) Listen carefully and then respond in a clear but respectful manner C) Have the clinical instructor mediate between the student and the classmate D) Begin explaining the assumptions and misperceptions that the classmate has made
The nurse is caring for an older patient who only speaks Spanish. To meet the national standards for culturally and linguistically appropriate services in healthcare, what will the nurse do? Select all that apply.
1. Offer language assistance services to the patient. 2. Post signs in the patient's room written in Spanish. 3. Encourage the patient's family members to serve as interpreters. 4. Explain the cost to employ an interpreter to help the patient with language needs. 5. Provide a written notice in the patient's language informing of the right to receive language assistance services.
A 57-year-old female patient complains of "strange pimples" over her buttocks region. The nurse realizes that this patient might be experiencing which health problem?
1. acne conglobata 2. contact dermatitis 3. acne vulgaris 4. acne rosacea
A patient has just completed a preoperative education session prior to undergoing coronary artery bypass surgery
Which patient statements indicate that teaching has been effective? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. "I understand that I will have to blink my eyes to respond after the breathing tube is in my throat." 2. "I will be given frequent mouth care to help me when I am thirsty." 3. "I will be able to move about freely in bed and into the chair without help while connected to the electronic equipment for monitoring." 4. "I may need something to help me rest due to the unfamiliar lights and sounds of the ICU unit." 5. "I might not behave like my usual self after the surgery but it will be because of the medications and my illness."