The nurse is evaluating the effectiveness of an older patient's self-management of asthm
a. What does the nurse assess as the priority? (Select all that apply.)
a. How many times a week a rescue inhaler treatment is needed
b. How well the patient is able to avoid the known triggers
c. Whether the patient experience frequent respiratory infections
d. Whether the patient requires rest periods during the day
e. Whether the patient believes he or she has the support of family and friends
A, B
The evaluation of self-management is based on the patient's success in following through with the plan. Determine the frequency of rescue inhaler use, success at avoiding triggers, and the pa-tient's ability to monitor and address lifestyle changes.
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Prior to delegating temperature measurement to assistive personnel, the nurse determines the appropriate method of measuring the client's temperature. Safety considerations include: Standard Text: Select all that apply
1. Forcing the thermometer into place to make sure it is accurate. 2. Making sure the client knows not to roll over when a rectal thermometer is in place. 3. Using the blue-tipped thermometer for an oral temperature. 4. Using a site other than oral if the client is known to have frequent seizures. 5. Using probe covers, except for axillary temperatures.
A child is hospitalized with acute kidney injury (AKI) and has a critical hyperkalemia. Which order would the nurse question as inappropriate for this child?
A. Calcium gluconate B. Dextrose and insulin C. Emergent dialysis D. Kayexalate (sodium polystyrene) enema
Statistically, which of the following elderly clients is at greatest risk for mistreatment in the domestic setting?
A) an active 70-year-old woman with well-controlled diabetes who lives alone B) a healthy 75-year-old man who is a retired businessman and lives with his son C) an 82-year-old woman with severe osteoarthritis and macular degeneration who lives with her single daughter who has an adult son with cerebral palsy D) a 77-year-old man who has a history of coronary bypass surgery, is active, and lives with his wife
A patient has been taking warfarin (Coumadin), which is highly protein-bound. The patient will begin taking gemfibrozil, which is also highly protein-bound. The nurse will observe the patient closely for
a. decreased effects of warfarin. b. increased effects of warfarin. c. decreased effects of gemfibrozil. d. decreased effects of both drugs.