An older client's daughter calls the home health nurse and reports that her mother has
become and is very confused at night. The daughter states that her mother's behavior
changed suddenly a few days a few days ago a
...
An older client's daughter calls the home health nurse and reports that her mother has
become and is very confused at night. The daughter states that her mother's behavior
changed suddenly a few days a few days ago and is now getting worse. Which actions
should the nurse take? Select all that apply
a. Ask if the mother is experiencing any pain with urination.
b. Encourage increase intake of high protein foods.
c. Instruct the daughter to check her mother's temperature.
d. Review the clients current food and medication allergies.
e. Determine if the mother has recently experienced a fall. - ANS IS a. Ask if the mother
is experiencing any pain with urination.
c. Instruct the daughter to check her mother's temperature.
e. Determine if the mother has recently experienced a fall.
1.The nurse is preparing a teaching plan for an older female client diagnosed with
osteoporosis, which expected outcome has the highest priority.
a. Identifies 2 treatments for Constipation due to immobility.
b. Names three home safety hazards to be resolved immediately.
c. States 4 risk factors for the development of osteoporosis.
d. List five calcium rich foods to be added to her daily diet. - ANS IS b. Names three
home safety hazards to be resolved immediately.
1. The nurse preparing a client who had a BKA ( below the knee amp) for discharge to
home. Which recommendations should the nurse provide this client? (SATA)
a. Avoid range of motion exercises
b. Use residual limb shrinker
c. Wash the stump with soap and water
d. Inspect skin for redness
e. Apply alcohol to the stump after bathing - ANS IS a. Inspect skin for redness
b. Use a residual limb shrinker
c. Wash the stump with soap and water
A client's morning assessment includes bounding peripheral pulses, weight gain of 2lbs
(0.91 kg), pitting ankle edema, and moist crackles bilaterally. Which intervention is most
important for the nurse to include in this client's plan of care?
a. Restrict daily fluid intake to 1500 mL
b. Administer prescribed diuretic
c. Maintain accurate intake and output
d. Weigh client every morning - ANS IS b. Administer prescribed diuretic
The home care nurse visits a client who has cancer. The client reports having a good
appetite but experiencing nausea when smelling food cooking. Which action should the
nurse implement?....
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