Which of the following indicate a prognosis of 6 months or less? (Select all that apply.)
a. Weight loss of 10% or more
b. Increased agitation
c. Frequent hospitalizations
d. Incontinence
e. Recurrent infections
f. Functional decline
ANS: A, C, E, F
Some indicators of a prognosis of 6 months or less (regardless of diagnosis) are 10% loss of weight in 6 months, functional decline, frequent hospital admissions, and recurrent infections. Agitation and incontinence can occur for many reasons and do not necessarily predict death.
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Which of the following statements about the nursing care of older persons with anxiety is most accurate?
A) Older adults should be encouraged to have daily coffee chats with their peers. B) The nurse should encourage the older persons to avoid thinking about or discussing the source of their anxiety. C) Medication is the most appropriate treatment for anxiety in older adults. D) Nurses should plan interventions specific to the underlying cause.
Which of the following tasks could the nurse safely delegate to unlicensed assistive personnel?
A) An initial assessment of a client B) Determination of a nursing diagnosis C) Evaluation of client progress D) Documentation of client's I+O on a flow sheet
Which of the following is the most current treatment for Hirschsprung's disease?
a. a two-stage surgery using first a temporary colostomy to provide bowel rest and second a pull-through procedure b. a one-stage pull-through without a temporary colostomy c. the laparoscopic-assisted pull-through procedure with anal entry thus eliminating major abdominal surgery d. a laser surgery that is done on an outpatient basis and requires no incision at all
If you work in a health care facility, you should be tested for tuberculosis
A) weekly. B) monthly. C) before you begin work. D) every five years.