An elderly client is admitted to the hospital with a temperature of 105¡ F and no signs of infection
The city is in the midst of a heat wave, and the client lives in a high-rise apartment without air conditioning. Which nursing diagnosis is most appropriate for this client?
1. fever related to inflamed tissues and age
2. hyperthermia related to environmental conditions
3. hypothermia related to environmental conditions
4. high fever related to no air conditioning
ANS: 2
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The nurse explains that the older adult is prone to hypothermia because the older adult: (Select all that apply.)
a. eats less. b. has more subcutaneous fat. c. has lower metabolism. d. has atherosclerosis. e. is less active.
A client asks the nurse how glaucoma can best be prevented. The nurse's response would include preventive information related to primary open-angle glaucoma, including which of the following?
a. Assessment of the optic nerve and tonometry testing should be performed regularly with an annual eye examination. b. Eat a well-balanced diet with adequate amounts of vitamin A and make sure your house has appropriate lighting. c. Exercises that increase blood pressure should be limited, and abrupt temperature changes should be avoided. d. Wear protective eyewear, and do not engage in activity where you are likely to experience blows to the head and neck.
One reason for using a concurrent audit rather than a retrospective audit is that it
a. Is less costly than a retrospective audit b. Represents the total picture of care that the client receives c. Provides more accurate data for planning corrective action d. Identifies problems at the time that care is given
Overfilling an anticoagulant tube can cause the specimen to:
a.) be used for more than one test b.) clot c.) be diluted d.) hemoconcentrate