The nurse is assigned to care for four clients. In planning client rounds, which client should the
nurse assess first?
1.A client scheduled for a chest x-ray
2.A client requiring daily dressing changes
3.A postoperative client preparing for discharge
4.A client receiving nasal oxygen who had difficulty breathing during the previous shift - Answer
4.A client receiving nasal oxygen who had difficulty breathing during the previous shift
because airway is always the highest priority
Which statement by the older adult indicates a need for further teaching about meeting
nutrition and hydration needs?
a. "I will make sure I eat plenty of fruits and vegetables and avoid red meat."
b. "I will stop drinking liquids after dinner to prevent getting up at night."
c. "I'm going to check if I can get food stamps to help me afford better food."
d. "I've got to increase more fiber in my diet to help my bowels work better." - Answer b. "I
will stop drinking liquids after dinner to prevent getting up at night."
The nurse performs an initial assessment for an older adult being admitted to an assisted living
facility. Which nursing findings indicate that the client is at risk for falls? (Select all that apply.)
a. Uses a roller walker
b. Has had arthritis for 20 years
c. Is oriented to person, place, and timed.
d. Wears eyeglasses
e. Has bilateral cataracts
f. Has severe osteoporosis - Answer ABDEF
A nurse conducts an assessment of an older adult's medications and herbal/nutritional
supplements. Which supplement is most likely to cause an interaction with prescribed
medications?
a. Probiotics
b. Echinacea