A client suffering from infectious diarrhea, dehydration, and right-sided paralysis is confined to bed. What is the client most prone to?
A) Bowel obstruction
B) Decubitus ulcer
C) Depression
D) Urinary incontinence
Ans: B
Feedback:
Many factors predispose an individual to have pressure ulcers; factors can be physical (local infections, malnutrition), functional (impaired mobility, incontinence), and psychosocial (poor adherence to treatment, impaired cognition).
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When assessing the patient for delirium versus dementia, the nurse would expect the patient with dementia to have signs of a(n):
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A nursing intervention to assist the patient with a nursing diagnosis of Sleep pattern disturbance related to the loss of spouse and fear of nightmares should be to:
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An 82-year-old client has a long history of diabetes mellitus and developed diabetic neuropathy more than 25 years ago. He is without breakthrough pain at this point in time. How would his pain be classified?
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