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1. Which nursing actions will the nurse take to assess for possible malnutrition in an older adult patient (select all that apply)? a) Assess for depression. b) Review laboratory results. c) Determine food preferences. d) Inspect teeth and oral mucosa. e) Ask about transportation needs. ANS: A, B, D, E The laboratory results, especially albumin and cholesterol levels, may indicate chronic poor protein intake or high-fat or high-cholesterol intake. Transportation affects the patient’s a...

A- social withdrawal B- chronic physical disability C- emotional impairment D- cognitive dysfunction ATI GERONTOLOGY EXAM Answer- b Physical disability is the most common reason older adult clients have difficulty performing ADLs. Self-care deficit, the nursing diagnosis that describes the inability of the client to perform self-care activities necessary for optimum health and function,is associated with several physical etiologic factors: activity intolerance, pain, neuromuscular ...

3. A school nurse is implementing health screenings. Which of the following assessment findings should the nurse recognize as the highest priority? (A) :A child who has nits (B) :An adolescent who has scoliosis (C) :A child who has a BMI of 18 (D) :An adolescent who has psoriasis 4. A 35-year-old client who has a diagnosis of tuberculosis informs the providers office that she Is unable to pay for the treatment. Which of the following actions by the nurse will facilitate obtaining ap...

A nurse is caring for a client who has Type 1 diabetes mellitus and is resistant to learning self-injection of insulin. Which of the following statements should the nurse make? “Tell me what I can do to help you overcome your fear of giving yourself injections.” A charge nurse is teaching adult cardiopulmonary resuscitation (CPR) to a group of newly licensed nurses. Which of the following actions should the charge nurse teach as the first response in CPR? Confirm unresponsiveness. A com...

A nurse in an urgent care clinic is collecting admission history from a client who is 15 weeks of gestation and has bacterial vaginosis. The nurse should recognize which of the following associated with this infection? Profuse milky white discharge A nurse is in a hospital cafeteria over hears 2 assistive personnels discussing a client. They are using the client's name & discussing diagnosis. Which of the following actions should the nurse take first? Tell the AP to discontinue their...

1. The nurse is preparing a patient for surgery. Which goal is a priority for assessing the patient before surgery? a. Plan for care after the procedure. b. Establish a patient’s baseline of normal function. c. Educate the patient and family about the procedure. d. Gather appropriate equipment for the patient’s needs. ANS: B The goal of the preoperative assessment is to identify a patient’s normal preoperative function and the presence of any risks to recognize, prevent, and...

1. The nurse caring for a pregnant client should be aware that the U.S. birth rate shows which trend? a. Births to unmarried women are more likely to have less favorable outcomes. b. Birth rates for women 40 to 44 years old are beginning to decline. c. Cigarette smoking among pregnant women continues to increase. d. The rates of maternal death owing to racial disparity are elevated in the United States. ANS: A Low-birth-weight infants and preterm birth are more likely because of the large ...

o Anesthetic Blocks ▪ Pudendal block = decreases pain in perineum and vagina – no help with contraction pain ▪ Epidural block = T10-S5 • Blocks all pain • First sign = warmth or tingling in ball of foot or big toe ▪ Regional blocks often result in forceps or vacuum assisted births because they affect the mother’s ability to push effectively o Tears ▪ 1st degree – Dermis ▪ 2nd degree – mm/fascia ▪ 3rd degree – anal sphincter ▪ 4th degree – rectum o Placen...

VII. Upon examining the mouth of a 3 year-old child, the nurse discovers that the teeth have chalky white-to-yellowish staining with pitting of the enamel. Which of the following conditions would most likely explain these findings? A) Ingestion of tetracycline B) Excessive fluoride intake C) Oral iron therapy D) Poor dental hygiene VIII. The nurse is reassigned to work at the Poison Control Center telephone hotline. In which of these cases of childhood poisoning would the nurse suggest tha...

Rationale: The fundus should be palpated and massaged frequently to prevent hemorrhage (B). The lochia should be assessed to detect for hemorrhage (D) and ice packs and witch hazel can decrease edema and discomfort (E). Bed rest is only recommended for the first 2 hours (A). A full bladder is suspected if the fundus is deviated to the right or left of the umbilicus (C). The nurse prepares to administer amoxicillin clavulanate potassium (Augmentin) to a child weighing 15 kg. The prescription is...