The home care nurse observes a buildup of cerumen in both ears of an older client. How should the nurse respond?
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A 68-year-old African American male with a history of hypert…
A 68-year-old African American male with a history of hypertension and Type 2 diabetes presents to the clinic for a routine check-up. The patient reports fatigue, swelling in the legs, and decreased urine output over the past few weeks. The provider orders lab tests to assess renal function. Previous labs a year ago were normal. Which lab tests does the nurse report as indicative of a decline in renal function? Select all that apply.
The nurse is providing care to an older diabetic resident. W…
The nurse is providing care to an older diabetic resident. Which new findings would prompt the nurse to prioritize checking a blood glucose as one of the immediate actions?
The nurse is on a task force to reduce the incidence of fall…
The nurse is on a task force to reduce the incidence of falls among residents of a long-term care facility. Which measure should the nurse recommend to prevent the most falls?
The nurse is facilitating a health promotion class at a seni…
The nurse is facilitating a health promotion class at a senior center. Which statement made by a participant requires additional teaching from the nurse?
A client has chronic obstructive pulmonary disease (COPD) an…
A client has chronic obstructive pulmonary disease (COPD) and is exhibiting shallow respirations of 32 breaths per minute and a pulse oximetry of 93% on nasal oxygen at 2 L/minute. What action should the nurse take?
Client has chronic renal failure and is complaining of pruri…
Client has chronic renal failure and is complaining of pruritis. The health care provider has ordered Diphenhydramine 35 mg IM prn. Using the label calculate how many mL the nurse will administer. (Enter the number only in the blank, round to the tenths place, add leading zero if appropriate) Diphenhydramine.png [BLANK-1]
An elderly client has a positive TB skin test. What addition…
An elderly client has a positive TB skin test. What additional tests should the nurse anticipate the healthcare provider to order, to rule out active tuberculosis (TB)?
An older client is experiencing mouth pain rated 4 on a 10-p…
An older client is experiencing mouth pain rated 4 on a 10-point pain scale. What action should the nurse take first?
A client presents with fatigue, weight gain, and cold intole…
A client presents with fatigue, weight gain, and cold intolerance. Physical exam reveals dry skin and bradycardia. The physician suspects hypothyroidism and orders laboratory tests. Which of the following lab results does the nurse see as consistent with a diagnosis of primary hypothyroidism?Lab Reference Ranges:TSH: 0.4 – 4.0 mIU/LFree T4: 0.8 – 2.2 ng/dLFree T3: 2.3 – 4.2 pg/mL