Which of the following best describes a nursing intervention for the nursing diagnosis Risk for Infection which is congruent with the holistic model of gerontological nursing care?
A) Assist in the selection of foods to improve nutritional status
B) Prevent complications associated with immobility
C) Observe for and detect respiratory problems early
D) Teach the importance of cleansing the perineal region after elimination
D
Feedback:
This nursing intervention helps reduce Risk for Infection by strengthening self-care for elimination. The other choices, though important interventions, are not directly related to the diagnosis Risk for Infection.
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A nurse on an acute medical unit has rectally administered a dose of sodium polystyrene sulfonate to a patient. What assessment should the nurse prioritize in the 48 hours following the administration of this drug?
A) Monitoring of serum potassium levels B) Stool testing for occult blood C) Fluid balance D) Hemoglobin, hematocrit, and red blood cells
While performing a patient assessment, the nurse recalls that the epidermis is thickest on the:
A) Scalp B) Elbows C) Palms of the hands D) Knees
A patient diagnosed with probable Alzheimer's
disease is having his swallowing ability tested. His wife asks you why this is necessary. What is your best response? a. "This is a routine assessment that is completed for every patient." b. "The prescriber ordered this test to be done to prevent side effects of a new drug for your husband's disease." c. "This test tells us where your husband's swallowing is now, because it may get worse as his disease progresses." d. "We are concerned about whether we will need to place a feeding tube to give his medications."
Tension, conflict, and competition for status occur during the following stage of team development
A. Forming B. Storming C. Norming D. Performing E. Adjourning