The nurse reviews the major criterion for diagnosing a child as cognitively impaired, which is:
a. an IQ of 75 or less.
b. subaverage functioning.
c. an IQ of 70 or less.
d. onset before 18.
C
Cognitive impairment categories are based on IQs from 20 to 70.
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A patient who is known to be angry and impulsive is hospitalized after an automobile accident in which he sustained severe orthopedic injuries
When in pain, he loudly berates nursing staff, saying, "You jerks don't even know enough to give a patient pain medicine when he needs it.". The patient's nursing diagnosis is Ineffective coping. Which nursing intervention would best address this situation? a. "If you could tell us about wanting the medicine before your pain becomes this bad, it would help.". b. "I can see you are frustrated, but rudeness toward nurses will not help you get your medication any sooner.". c. "I'm concerned that there may be something we overlooked; I'm going to ask a psychiatric specialist to evaluate you.". d. "Pain can make anyone miserable; I will ask your doctor to change the order so you get medicine regularly without having to ask.".
Which statement about antibiotic use will the nurse use as a guide when assessing an older patient's use of this type of medication?
A) Antibiotics are best delivered intravenously rather than orally for older adults. B) Excessive antibiotic use contributes to the spread of antibiotic-resistant bacteria. C) Older adults need higher antibiotic doses to compensate for decreased immune function. D) Long-term use of low-dose antibiotics provides protection against infections for older adults.
A 75-year-old patient with presbycusis is fitted with binaural hearing aids. Which information will the nurse include when teaching the patient how to use the hearing aids?
a. Experiment with volume and hearing ability in a quiet environment initially. b. Keep the volume low on the hearing aids for the first week while adjusting to them. c. Add a second hearing aid after making the initial adjustment to the first hearing aid. d. Wear the hearing aids for about an hour a day at first, gradually increasing the time of use.
A client who is experiencing Ineffective coping is taught by the nurse to use relaxation techniques accompanied by breathing exercises. The rationale for this therapy is to:
1. distract the anxious client. 2. calm agitated people. 3. reduce physiological changes that are detrimental to health. 4. provide an activity to do until the crisis team arrives.