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- A nurse is caring for an older male patient in a long-term carefacility who has a spinal cord injury affecting his neurologicreflex arc. Based on this patient data, what would be a priorityintervention for this patient?a. Monitoring food and drink temperatures to prevent burnsb. Providing adequate pain relief measures to reduce stressc. Monitoring for depression related to social isolationd. Providing meals high in carbohydrates to promote healing0.The nurse is caring for a patient who had a right foot amputation. Which of the following actions is essential for the nurse to include in the plan of care?A. Allow adequate time for the patient to work through their grief.B. Invite the assistance of other patients with similar experiences.C. Encourage immediate independence in self-care.D. Provide information to the patient on how to contact community resources.During an interaction with a patient diagnosed with epilepsy,a nurse notes that the patient is silent after she communicatesthe plan of care. What would be appropriate nurse responsesin this situation? Select all that apply.a. Fill the silence with lighter conversation directed at thepatient. b. Use the time to perform the care that is needed uninter-rupted. c. Discuss the silence with the patient to ascertain its mean-ing. d. Allow the patient time to think and explore inner thoughts.e. Determine if the patient’s culture requires pauses betweenconversation. f. Arrange for a counselor to help the patient cope with emo-tional issues.
- DONT CANCEL Make a learning objective for the patient with regards to this topic of health teaching (What should be expected of the client): topic: TEENAGE VICES (ALCOHOL, DRUGS, SMOKING, SEX) AND PEER PRESSURE Learning objective (should start with this line): 1. After ___ minutes of discussion, the client will 2. After ___ minutes of discussion, the client will 3. After ___ minutes of discussion, the client will1. The nurse is providing education to a 26-year-old female about the procedure she will have in the morning. The nurse notes that the patient is restless and her respirations have increased. The patient is having problems listening and seems irritable. What action should the nurse take first? a.Use therapeutic communication to find the source of anxiety, and provide education b.Inform the charge nurse immediately, that the patient needs a STAT EKG c.Administer Lorazepam, and help the patient sleep d.Call the physician immediately, the patient is having a pulmonary embolism 2. An obese 55-year-old male is about to be transported to the cath lab for an angiography. Which of the following would be important for the nurse to ask before calling report to the cath lab nurse? a. Do you have any allergies, and are you allergic to shellfish? b. Did you remain NPO for at least 2 hours? c. Do you have a history of coronary artery disease? d. Do you have any metal in your body? 3. A MedSurg…Which action would be most important for a nurse to includein the plan of care for a patient who is 85 years old and haspresbycusis?a. Obtaining large-print written materialb. Speaking distinctly, using lower frequenciesc. Decreasing tactile stimulationd. Initiating a safety program to prevent falls
- When describing safety issues and related mortality to alocal senior citizens group, what would the nurse identify asthe leading cause of hospital admissions for trauma in olderadults?a. Firesb. Exposure to temperature extremes c. Intimate partner violenced. FallsA nurse is assessing a client who has Alzheimer's disease. Which of the following findings should the nurse identify as the priority? ... . The chent engges in waridering. The client places their shpes on the wrorg feet. The client dbes not recognize their partrier The dlient is unable to remermber their plersonal historyA nurse is assessing a client who has Alzheimer's disease. Which of the following findings should the nurse identify as the priority? ... . The chent engaages in waridering. The client places their shpes on the wrorig feet. The client dbes not recognize their partrier The dlient is unable to remermber their plersonal history
- 2. The care plan calls for administration of a medication plus client education on diet and exercise for high blood pressure. The nurse finds the blood pressure extremely elevated. The client is very distressed with this finding. Which nursing skill of implementing would be needed most? a. Intellectual b. Cognitive c. Psychomotor d. Interpersonal 3. The first step before performing bed bath to a bedridden client is: a. Prepare the equipment b. Validate the plan of care c. Assess the client d. Check the medical diagnosis 4. Which type of evaluation occurs continuously throughout the teaching and learning process? a. Summative b. Informative c. Retrospective d. Formative 5. When making decision about the effectiveness of a nursing intervention, the nurse: a. Search information in social media b. Uses evidence-based nursing practice c. Tests and compares its effect to groups of clients d. Consults senior nurse or faculty for advice 6. Which of the following intervention healthy…A nurse who is assessing an older female patient in a long-term care facility notes that the patient is at risk for sensory deprivation related to severe rheumatoid arthritis limiting heractivity. Which interventions would the nurse recommendbased on this finding? Select all that apply.a. Use a lower tone when communicating with thepatient.b. Provide interaction with children and pets.c. Decrease environmental noise.d. Ensure that the patient shares meals with otherpatients.e. Discourage the use of sedatives.f. Provide adequate lighting and clear pathways ofclutter.A nurse asks a 25-year-old patient to make a list of 20 wordsthat describe him. After 15 minutes, the patient listed thefollowing: 25 years old, male, named Joe; then declared hecouldn’t think of anything else. The nurse documents that thepatient has demonstrated:a. Lack of self-esteemb. Deficient self-knowledgec. Unrealistic self-expectationd. Inability to evaluate himself