The Norton scale is used to assess the risk of _____ in older adults
a. falls
b. incontinence
c. alcohol withdrawal
d. pressure ulcers
d
The Norton Scale is widely used to assess the risk for
pressure ulcer in adults. The five subscale scores of the Norton
Scale are added together for a total score that ranges from 5
to 20 . A lower Norton score indicates higher levels of risk for
pressure ulcer development. Generally, a score of 14 or less
indicates at-risk status.
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The nurse would assess which of the following as early signs of lithium poisoning?
1. Elevated blood pressure, paralysis, and impulsivity 2. Cardiac arrest, seizures, and change in level of consciousness 3. Vomiting, diarrhea, lethargy, and muscle twitching 4. Hallucinations, agitation, and anger
A client with renal failure is receiving peritoneal dialysis. The nurse is explaining the process to the client. Which statement would the nurse include in a discussion with the client and
family? A) "The peritoneum is more permeable because of the presence of excess metabolites." B) "The metabolites will diffuse from the interstitial space to the bloodstream mainly through diffusion and ultrafiltration." C) "The peritoneum acts as a semi-permeable membrane through which wastes move by diffusion and osmosis." D) "The solutes in the dialysate will enter the bloodstream through the peritoneum."
Which statement by a patient would the nurse interpret as willingness to collaborate in the nurse–patient relationship?
a. "I know you are here to help me, and will do whatever you tell me to do." b. "I didn't want to deal with this at first, but I'm glad you made me face it." c. "I realize that I have some issues that I need help resolving." d. "I will do anything to get out of this hospital."
Which of the following would be considered a susceptible host?
a. A healthy preschooler b. A very old person c. A healthy middle-aged adult d. An adolescent who is healthy