A patient admitted with a diagnosis of Alzheimer's disease is anxious and dehydrated, has reportedly not been eating, and has had a weight loss of 5 lb in 1 week. Which nursing diagnosis is a priority?
a. Fluid volume deficit related to fluid loss
b. Altered nutrition: Less than body requirements related to anorexia
c. Fluid volume excess related to reduced urine output
d. Risk for impaired skin integrity
ANS: A
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At the completion of an assessment the nurse determines that an older patient is at risk for the development of osteoporosis. What did the nurse assess in this patient?
1. Obese with hip pain with ambulation 2. Ingests three glasses of skim milk daily 3. Eats three to five servings of shrimp and liver per week 4. Takes corticosteroids for 10 years for chronic pulmonary disease
A client tells the nurse that she is learning tai chi since someone at her yoga class said that it really helped with balance. How are tai chi and yoga alike?
a. Both modalities incorporate movement to promote balance and harmony. b. They are part of the same ancient tradition. c. Both modalities are part of religious worship. d. They both require a person to be physically fit before starting the practice.
A client with severe schizophrenia is hospitalized when he becomes agitated, physically aggressive, and uncooperative. The client is put in leather restraints for safety purposes
The client yells that he is going to sue the staff for assault and battery. Under which condition is the staff protected? A) The client is a voluntary commitment and poses no danger to himself or others. B) The client is a voluntary commitment and poses a danger to himself or others. C) The client is an involuntary commitment but poses no danger to himself or others. D) The client is an involuntary commitment and poses a danger to himself or others.
Which of the following factors or conditions were responsible, in the first third of the 20th century, for the high incidence of infant and childhood mortality?
a. lack of medical doctors c. sudden infant death syndrome b. infectious diseases d. high-fat diets