What is the priority nursing diagnosis for an older adult client with sensory deficits who is scheduled for surgery?
A. Deficient Knowledge related to difficulty with sensory processing
B. Risk for Impaired Skin Integrity related to incontinence and thin skin
C. Decreased Cardiac Output related to poor circulation and venous return
D. Risk for Activity Intolerance related to decreased respiratory reserve
A
Older adult clients with sensory deficits, especially those affecting vision and hearing, may need more time for teaching and reinforcement of teaching.
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A nursing instructor is observing a nursing student prepare an oral drug for administration. The instructor determines that the student is performing the procedure correctly when the student compares the label of the drug with the MAR how many times?
A) 2 B) 3 C) 4 D) 5
A patient scheduled for a magnetic resonance imaging (MRI) has arrived at the radiology department. The nurse who prepares the patient for the MRI should:
A) Withhold stimulants 24 to 48 hours prior to exam. B) Ensure no metal-containing objects are present. C) Instruct the patient to void prior to exam. D) Administer oral contrast solution.
A terminally ill patient is experiencing secretions pooling in the back of the throat. What can the nurse do to help this patient feel more comfortable?
1. Raise the head of the bed. 2. Gently massage the patient. 3. Provide frequent small sips of fluids. 4. Provide oral care.
The nurse instructs the client that which foods contain high amounts of Omega-3 fatty acids? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected
1. Green beans 2. Bananas 3. Tofu 4. Salmon 5. Red meat