The nurse working in the gerontology clinic understands which facts related to incontinence? (Select all that apply.)
a. It is a normal age-related change.
b. It is an independent predictor of nursing home admission.
c. It contributes to falls and injuries.
d. It can disrupt sleep.
e. It can lead to urinary tract infections.
B, C, D, E
Urinary incontinence is not a normal age-related development, although people commonly believe this is true. The other statements are correct.
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A nurse at a behavioral health clinic sees an unfamiliar psychiatric diagnosis on a patient's insurance form. Which resource should the nurse use to discern the criteria used to establish this diagnosis?
a. The Diagnostic and Statistical Manual of Mental Disorders (DSM) b. Nursing Diagnosis Manual c. A psychiatric nursing textbook d. A behavioral health reference manual
New findings of unknown causes are:
a. problems to be noted on the problem list. b. deferred for subsequent visits. c. diagnosed before physical examination. d. reserved for specialists.
The nurse observes yellow sclerae in the client's eyes. Which does the nurse use to document this finding?
1. Pallor 2. Jaundice 3. Cyanosis 4. Ecchymoses
A nurse on a telemetry unit is admitting a client and has an unlicensed assistive person (UAP) helping with the admission process. Which task can the nurse delegate to the UAP?
a. Determining what heart rhythm the client is in based on telemetry reading b. Gathering information about the client's medical history and any allergies c. Listing the client's home medications on a medication reconciliation form d. Obtaining an admission weight for the client utilizing the client's bed scale