A home health nurse is completing an admission assessment of an older adult client. The client is in a wheelchair with the wheels locked c. implementing transpersonal approaches 2. C. A nurse is completing an admission assessment for a client who reports vomiting and diarrhea for the past 3 days. Receives monthly pension 5. What would be important to do before interviewing this client?, What is an appropriate modification in technique that a nurse should take for the examination of the frail elderly client?, The nurse notes that it takes an older client 45 seconds to 7. What is nurse's best initial action?, A nurse is working with an older adult female client newly diagnosed with osteoporosis. installing wooden railings on the stairway to the bathroom c. Confusion, Which of the following measurements of waist A home health nurse is performing an admission assessment on a client who had a knee arthroplasty 1 week ago. Turn the phone and radio off. c. Which action should the nurse take next? a. A nurse is responsible for assessing an older adult in an acute care setting. Study with Quizlet and memorize flashcards containing terms like A home health nurse is completing an admission assessment of an older adult client who has their caregiver present. B) Signs and symptoms of illness are often obscure and less A home health nurse is conducting a home safety assessment for an older adult client. Limit the initial interview to 15 minutes. Which of the following findings should the nurse identify as a potential indication of elder abuse? a. Which of the following statements accurately reflects data that the nurse should use in planning care to meet the needs of the older adult? A) Gastroenterologist B) ED nurse C) Admissions clerk D) Diagnostic technician, 3. raised toilet seats D. throw rugs Study with Quizlet and memorize flashcards containing terms like The nurse is preparing to interview an older adult patient to obtain a history and physical. Conduct a client care conference C. A home health nurse is completing an admission assessment of an older adult client who has their caregiver present. However, based on the distribution of the bruises, the nurse suspects abuse. The client Sep 27, 2022 · Study with Quizlet and memorize flashcards containing terms like A home health nurse is completing an admission assessment of an older adult client who has their caregiver present. What does this indicate? A) The patient is a normal weight. Takes multiple medications E. Aug 28, 2023 · The nurse should strive to complete: Admission history and physical assessment as soon as the patient arrives at the unit or status is changed to an inpatient. The nurse educator recognizes that the education was effective when the students state that common dangers in the home setting of an older adult include: polypharmacy and use of multiple extension cords. throw rugs Study with Quizlet and memorize flashcards containing terms like A home health nurs is completing an admission assessment of an older adult client who has their caregiver present. allow sufficient time for the client to respond to the questions. 2° C (99° F A nurse and an older adult client with chronic back pain are beginning to communicate. Which of the following findings should the nurse report to the nursing supervisor? Study with Quizlet and memorize flashcards containing terms like The nurse incorporates the concepts of the Science of Human Caring when providing patient care. Which of the following findings should the nurse identify as a potential indication of elder abuse? The caregiver is the client's financial power of attorney. ) 1. household cleaners stored under the sink and hanging cords on window blinds. "I am planning to use a wheelchair to help me get Jun 20, 2024 · Study with Quizlet and memorize flashcards containing terms like The nurse is preparing to conduct an admission assessment on an older adult client. The client and family member explain that the bruises are a result of clumsiness. 4°C (130° F) E. Which of the following findings should the nurse identify as a potential indication of elder abuse?, A middle adult client tells the nurse "I feel so useless now that my children do not need me anymore. d. The patient has had an indwelling Foley catheter in for 3 days. D. Raised toilet seats D. Orient the client to his room B. Which of the following findings should the nurse identify as a safety risk for the client? (Select all that apply) A. Which information will be most essential or the nurse to report to the health care provider. Oct 3, 2023 · A home health nurse is completing an admission assessment of an older adult client who has their caregiver present. A nurse is completing a health history with a newly admitted client 3) A home health nurse is teaching an older adult client who has returned home after discharge from the hospital about injury prevention. Which of the following client statements should concern the nurse most? 1. A home health nurse is conducting a home safety assessment for an older adult client. Throw rugs D. " What is the most appropriate action by the nurse? Study with Quizlet and memorize flashcards containing terms like A nurse who provides care in a campus medical clinic is performing an assessment of a 21-year-old student who has presented for care. conduct a client care conference. "I am so glad to be off those blood thinners. The client has a fractured hip, malnutrition, and dehydration. The nurse is completing an admission assessment on an older adult who lives alone. Study with Quizlet and memorize flashcards containing terms like A nurse is completing the intake assessment of an older adult who has just relocated to a long-term care facility. Bathtub with rails B. B) The patient is extremely obese. b. Electric cords behind the furniture C. Which interaction promotes achievement of wellness outcomes Study with Quizlet and memorize flashcards containing terms like An older adult client has been living for the past 2 years in a long-term care facility. The client expresses concern over "embarrassing urinary issues. Which intervention should be included in the plan of care? 1. Study with Quizlet and memorize flashcards containing terms like A home health nurse is performing a home assessment for safety. However, financial pressures have required that the resident move in with the oldest child and spouse. Throw rugs Study with Quizlet and memorize flashcards containing terms like Which attempt by the family to prevent an older, frail adult from falling causes the home health nurse concern? a. 8° F). The client is getting Ds in his classes because he frequently skips school. Difficulty ambulating 2. Which of the following statements if made by the child's spouse should signal a potential risk for elder abuse?, The home health nurse is Study with Quizlet and memorize flashcards containing terms like a nurse is caring for an older adult client who has dementia and has wandered into the day room looking for their deceased partner. Which of the following laboratory values Study with Quizlet and memorize flashcards containing terms like A nurse is performing an admission assessment for an older adult client. orient the client to his room. B. Problems handling finances C. " What does the nurse do to ensure this client's safety?, A 72-year-old client admitted to the hospital for congestive heart failure has a history of a fractured Study with Quizlet and memorize flashcards containing terms like A home health nurse performs an admission on an older adult client. Instruct the patient to take Tylenol. Which comment by the patient will cause the nurse to follow up?, The nurse is caring for an older-adult patient admitted with nausea, vomiting, and diarrhea due to food poisoning. Which of the following findings should the nurse identify as a potential indication of elder abuse? Study with Quizlet and memorize flashcards containing terms like A home health nurse is completing an admission assessment of an older adult client who has their caregiver present. The caregiver is the client's financial power of attorney b. Study with Quizlet and memorize flashcards containing terms like , An older adult client is on complete bed rest after a heart attack. develop a plan of Study with Quizlet and memorize flashcards containing terms like The nurse notes that an older adult client is scheduled for extracorporeal shock wave lithotripsy. Develop a Plan of Study with Quizlet and memorize flashcards containing terms like While completing a home health assessment, the nurse discovers that this older adult enjoys sitting alone on the porch while enjoying nature. Which of the following pieces of May 20, 2024 · Initial planning is done by the nurse who conducts the admission assessment. Uses a cane D. After assessment, the nurse determines that the patient has a BMI of 45. Study with Quizlet and memorize flashcards containing terms like 1. which action should the nurse avoid? 1. Ongoing Planning. The client states he smokes Study with Quizlet and memorize flashcards containing terms like The nurse conducts an assessment of an older adult. Impaired recent memory, A nurse is caring for a client who has The nurse educator has just completed a lecture regarding older adults and hazards in the home. encouraging the client to use a A nurse is completing the assessment of an 85-year-old client who is being admitted to a memory care home for progressing dementia. Study with Quizlet and memorize flashcards containing terms like An older adult client who is admitted to the medical-surgical unit with a diagnosis of heart failure states to the nurse, "I am of no use to anyone. A client refuses ECT after signing the consent form b. A nurse is assessing an older adult client during a home visit. Which factor should the nurse Study with Quizlet and memorize flashcards containing terms like 1. which of the following actions should the nurse take?, a nurse is documenting admission assessment findings for a client who has major depressive disorder. Which of the following findings should the nurse identify as an early indication of cognitive decline? A. Which of the following actions should the nurse take to collect subjective data?, A nurse is admitting an older adult client who fell at home 3 days ago. are capable of taking control of their own lives. Study with Quizlet and memorize flashcards containing terms like A nurse is conducting an admission assessment for an older adult client. A client was administered one-half of the prescribed dose of Study with Quizlet and memorize flashcards containing terms like 1) A home health nurse performs an admission on an older adult client. What safety component of the nutritional assessment a nurse is evaluating the plan of care for an older adult client that will be discharged home with a home health aide. After describing how to assess the integumentary system, head, neck face, and musculoskeletal system, it explains how to evaluate the older adult’s functional status. D A home health nurse is conducting a home safety assessment for an older adult client . review medical prescriptions. Which of the following factors should the nurse include as an age related change the increases the risk for constipation an older adult clients? Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a group of clients. Which of the following findings should the nurse identify as a safety risk for the client ? ( Select all that apply . The nurse sees in the patient's record a score of 3+ on the biceps reflex test from her previous visit. The client is unable to answer some of the questions or provide some of essential information that the nurse needs to create the best nursing care plan for this client. " 2. What would be important to do before interviewing this client?, What is an appropriate modification in technique that a nurse should take for the examination of the frail elderly client?, The nurse notes that it takes an older client 45 seconds to The nurse is completing an admission assessment on a patient scheduled for arthroscopic knee surgery. Jun 29, 2024 · Study with Quizlet and memorize flashcards containing terms like A nurse is performing an admission assessment for an older adult client. keeping several low wattage night-lights on in the evening b. For which of the following situations should the nurse complete an incident report? a. 4 ° C ( 130 ° F ) C. The nurse has completed an initial assessment of a newly admitted client and is applying the nursing process to plan the client's care. The client is confrontational with his parents b. Study with Quizlet and memorize flashcards containing terms like A nurse is collecting data from a client who is at risk for cognitive impairment. Usually, the same nurse would be the one to create the initial comprehensive plan of care. Which assessment findings indicate that the client may be at risk for falls? Select all that apply. listening to the patient during communication 4. Talk to the family members to obtain the client's health history. making eye contact while speaking softly 3. ) A. " Which of Study with Quizlet and memorize flashcards containing terms like The nurse is preparing to conduct an admission assessment on an older adult client. Which of the following information should the nurse include in the teaching?, A nurse is giving a change-of-shift report about a client he admitted earlier that day who has pneumonia. A home health nurse is completing an admission assessment of an older adult client who has their caregiver present. The client is in a wheelchair with the wheels locked. obtain the health history from the client's medical record. Disorientation to time B. the nurse should identify which of the b. Which of the following findings indicates the client is at risk for malnutrition? (Select all that apply. Jul 11, 2011 · This article highlights essential skills to use when assessing geriatric patients in any clinical setting. bathtub with rails B. Which area addresses the client's goals?, A clinic nurse accesses a client who has limited English Study with Quizlet and memorize flashcards containing terms like a charge nurse is discussing the responsibility of nurses caring for clients who have clostridium difficile. A nurse is completing an admission assessment for an adolescent client who has depression. The nurse should identify which of the following findings as the priority? a. After gathering the assessment data and performing the review of systems, which of the following actions is a priority for the nurse? A. The caregiver is the client's financial power of attorney. Raised toilet seats B. Which of the following findings reported by the LPN indicates to the nurse the client has phlebitis at the IV insertion site?, A nurse is caring for a client who receives intermittent enteral feedings through Study with Quizlet and memorize flashcards containing terms like In preparation for discharge, the nurse is reviewing information related to new dietary guidelines with the client. "I will keep a pillow under my knee when I am in Bed. A client who was voluntarily admitted left the unit against medical advice c. Eight hours ago the patient's temperature was 37. keeping the side rails up on the client's bed at night d. Ongoing planning is done by all the nurses who work with the client. Which of the following findings should the nurse identify as a potential indicator of elder abuse?, A middle adult clients tells the nurse "I feel so useless now that my children do not need me anymore" Which of the A home health nurse is conducting a home safety assessment for an older adult client. currently, the client has a home health aide 4 hr a day to assist with meal preparation and hygiene care. B) The client will make uninformed choices when addressing health issues. Which of the following findings should the nurse identify as potential indiction of elder abuse? A. 2. A public health nurse is assessing an older adult client who lives with a family member. Data collected should be entered on the Nursing Admission Assessment Sheet and may vary slightly depending on the facility. As a nurse obtain new information and evaluate the client’s responses to care, they can . The client states, "I am worried about who is going to care for my dog Trixie. Which direction will the nurse provide the client for preparation?, The gerontological nurse is completing the admission database for an older adult client admitted for surgery. Study with Quizlet and memorize flashcards containing terms like When caring for an older patient with hypertension who has been hospitalized after a transient ischemic (TIA), which topic is the most important for the nurse to include in the discharge teaching?, The nurse performs a comprehensive geriatric assessment of a patient who is being assessed for admission to an assisted living facility. What does the nurse do next? A. Which of the following nursing actions would be most important to ensure accurate data when gathering the resident's information? A) Documenting the data B) Validating the data C) Identifying client support systems D A community health nurse is teaching a group of older adult client at a senior center. The client has limited use of the right arm and a heparin intravenous (IV) infusion in the left upper arm. The nurse understands that this finding indicates which of the following? Study with Quizlet and memorize flashcards containing terms like A nurse is working with a licensed practical nurse (LPN) to care for a client who is receiving a continuous IV infusion. Water heater temperature 54. Which of the following findings should the nurse identify as a safety risk for the client? Select all that apply A. water heater temperature 130F E. which of the following should be the nurse's primary consideration when making changes to the client's plan of care? a. A home health nurse is completing an admission on a patient who recently experienced a transient ischemic attack (TIA). The client prefers bathing at night because it relaxes them before bed. Has bilateral cataracts F. The client is in a wheelchair with the wheels locked C. Review medical prescriptions D. the client has a fractured hip, malnutrition, and dehydration. , A nurse is admitting an older adult client who fell at home 3 days ago. Which priority concern will require Study with Quizlet and memorize flashcards containing terms like What is a required component of a health assessment?, What will be the nurse's initial role when conducting a health assessment with a client reporting abdominal pain?, A nurse recommends that a client come back once every 3 months in the coming year to have his cholesterol checked, to make sure he is maintaining a healthy level A nurse is reviewing a client's health record while interviewing her. " 3. This is an example of which step in discharge planning?, The nurse is preparing to begin the discharge planning process with a client whose pulmonary embolism has recently resolved. What should the nurse do prior to the interview in order to facilitate communication? Select all apply. Additional data collected should be added. Has presbyopia B. " Which of A home health nurse is completing an admission assessment of an older adult client who has their caregiver present. Social withdrawal D. 4 C (130F) E. -Warm, red, and swollen Swelling, heat, and redness may indicate infection in the knee joint, which would indicate a need to cancel the procedure. The caregiver is the client's finanical POA B. a home health nurse is completing an admission assessment of an older adult client who has their caregiver present. The client's daughter gives the nurse a long list of drugs that the client is taking at home, both prescription and over-the-counter. 3. adhering to a strict schedule to complete morning care, the The home health nurse is completing the admission assessment for a 76-year-old client diagnosed with type 2 diabetes controlled with 70/30 insulin. Has thin papery skin Study with Quizlet and memorize flashcards containing terms like A nursing student is caring for a 78-year-old patient with multiple sclerosis. They state that they prefer to clean their hands and upper body before every meal 7. ill-fitting dentures 4. I just want to die. Which of the following findings should the nurse identify as potential indications of elder abuse? The caregiver is the client's financial power of attorney. E. Which area addresses the client's goals?, A clinic nurse assesses a client who has limited English Study with Quizlet and memorize flashcards containing terms like 1. During the assessment, the patient begins to complain of a severe headache and numbness in his left arm. Has peripheral neuropathy C. C) The patient is overweight The nurse, preparing to discharge an 81-year-old client from the hospital, recognizes that the majority of older adults _____. " the client's blood pressure is 135/90 mm Hg, with the clients last bowel movement one day ago. which of the following findings should the nurse identify as a potential indication of elder abuse? A home health nurse is completing an admission assessment of an older adult client who has their caregiver present. A community health nurse is checking blood The nurse performs an initial health assessment of an older adult. Which of the following findings should the nurse identify as a potential indication of elder abuse? A. What principle should the nurse apply when using the nursing process? A) Each step is independent of the others. The student reports her recent assessment to the registered nurse (RN): the patient's temperature is 37. The nurse completes the health history. A. Assess the client's ability to read small print. Monitor the client's serum PT level. The nurse identifies several bruises in various stages of healing. Speak in a clear and possibly louder voice. Bathtub with rails . Lives at home with family 3. Throw rugs The nurse is completing a hospital admission assessment on an 86-year-old client with renal impairment. Which goal would be appropriate to include in this client's plan of care? A) The client will take prescribed medication as desired. 1° C (98. Which of the following statements most accurately captures the complexity involved in assessing the older adult? A) Older adults manifest fewer symptoms of illness than do younger clients. ojmthk kds icce jgp eexzwm duafo gbqk lksh cpov ghvrf