An elderly client admitted with pneumonia has a normal body temperature. The nurse realizes the reason for this inconsistency is that:
1. The client does not have pneumonia.
2. The client is losing body heat.
3. The room is cold.
4. The temperature is not a valid indicator of the pathology of the illness.
4. The temperature is not a valid indicator of the pathology of the illness.
Rationale:
Older adults' temperatures may not be a valid indication of the seriousness of the pathology of a disease. Other symptoms such as confusion and restlessness may be a more accurate indicator. A decrease in temperature does not indicate that the client does not have pneumonia. The client may or may not be losing body heat. It is not known whether the room is or is not cold.
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A client remanded by the court after his wife had him jailed for battery told the judge how sorry he
was and suggested he needed psychiatric help. His history reveals acting-out behaviors as an adolescent and several adult arrests. The nurse interviews him about his relationship with his wife. The statement that would be most characteristic of the thinking of an individual with an antisocial personality is a. "I've done some stupid things in my life, but I've learned a lesson.". b. "I'm feeling terrible about the way my behavior has hurt my family.". c. "I have a quick temper, but I can usually keep it under control.". d. "I hit her because she nags at me. She deserves it when I beat her up.".
The home care nurse is preparing to visit an older female patient who lives in her son's home. The medical record indicates that the client has a high socioeconomic status. It also indicates that the son is Hispanic and is slightly cognitively impaired. Which risk factors for elder abuse would be most concerning?
1. Male gender 2. Hispanic race 3. Impaired cognitive status 4. High socioeconomic status
The nurse is discussing follow-up care with a client who is being discharged. The client and family cross their arms and state angrily that the team's suggestions are not acceptable
Which response by the nurse is appropriate? A) "We will leave you alone to discuss your options." B) "We only want what's best for you." C) "Let's discuss other options that might work well for you and your family." D) "Perhaps you did not understand the recommendations."
A nurse conducts a community discussion regarding agents of biologic terrorism. Which information would be included regarding the transmission of anthrax?
a. Anthrax is transmitted by respiratory droplets from person to person. b. Spores can survive for extended periods outside of a living host. c. Infection is acquired when spores enter a host. d. Mature anthrax bacteria live in dormancy on inanimate objects.