The nurse caring for an older cognitively impaired patient with osteoarthritis in both hands assesses the patient for hand pain by
a. observing for facial grimacing when the patient uses a fork to eat.
b. being alert for signs of agitation when washing the patient's hands.
c. listening to detect moaning when patient makes a fist.
d. watching for signs that the patient is re-luctant to shake hands.
B
Cognitively impaired patients in pain may not portray any visible signs of pain or distress or may be unable to communicate their pain. Pain may result in agitation, as well as increased pulse, respiration, blood pressure, and confusion. The other options are not as indicative of pain in the cognitively impaired older adult.
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A 78-year-old patient who is dying of colon cancer with metastases to the liver is refusing to eat or drink. He is alert and oriented, and states that he has no desire to eat, which is causing the family great distress. In order to best address the client
a. Explain the family's concern to the client b. Educate the family that this is normal behavior in this situation c. Contact the physician for an order for enteral feeding. d. Contact the dietitian for feeding supplements.
Therapeutic insemination has legal concerns for the donor of the sperm. To eliminate legal issues, the clinic nurse will have the donor: Note: Credit will be given only if all correct and no incorrect choices are selected
Select all that apply. 1. Sign a form waiving all parental rights. 2. Furnish accurate health information. 3. Agree to adopt the child. 4. Furnish a complete family tree. 5. Sign an agreement if married to the recipient.
A child is being evaluated for depression. An assessment tool the nurse expects the psychologist to use is
1. Denver Developmental Screeningtool. 2. Revised Children's Manifest AnxietyScale. 3. Parent Developmental Questionnaire. 4. Disruptive Behavior Disorder Scale.
The nurse, planning care for a client diagnosed with human immunodeficiency virus, realizes that the most common infection that occurs in clients with this health problem is:
1. cytomegalovirus infection. 2. Mycobacterium tuberculosis. 3. Pneumocystis carinii pneumonia. 4. Streptococcus pneumoniae.