While assisting with the admission of a new resident to the long-term care facility, the nurse notes the patient's feet are moist with dry skin on the heels. The toenails are long and brittle. Which action should the nurse take first?
a. File the nails.
b. Dry feet well.
c. Apply lotion to the feet.
d. Soak feet in warm water.
ANS: D
D. Nails in an older individual are often hard and brittle. Soaking in warm water helps soften nails to ease in their trimming. A. Filing the nails can be done once the nails are softened. B. Drying the feet would be appropriate after soaking them. C. Lotion can be applied after foot care has been completed.
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An older adult's unexplained weight loss of 15 pounds over the past 3 months has prompted a thorough diagnostic workup. What is the nurse's rationale for prioritizing biochemical assessment when appraising a person's nutritional status?
A) It identifies abnormalities in the chemical structure of nutrients. B) It predicts abnormal utilization of nutrients. C) It reflects the tissue level of a given nutrient. D) It predicts metabolic abnormalities in nutritional intake.
A community health nurse has prepared handouts that describe the need for annual gynecologic exams and is sending them to local health clinics that provide care for individuals with disabilities. The nurse is fulfilling which role?
A) Advocate B) Coordinator C) Researcher D) Educator
The families of patients expect their hospitalized member to receive holistic care. What characteristic is an example of provision of holistic care?
a. Providing safety with the side rails up b. Providing only foods and drinks that are to the patient's liking c. Bathing at a time and manner that is spe-cified by the patient d. Including the family in the holistic ap-proach
A patient who has been taking cimetidine
(Tagamet) for hyperacidity calls the clinic to say that the medication has not been effective. The nurse reviews his history and notes that which factor may be influencing the effectiveness of this drug? a. He takes the cimetidine with meals. b. He smokes two packs of cigarettes a day. c. He drinks a glass of water with each dose. d. He takes an antacid 3 hours after the cimetidine dose.