What should the nurse say to the daughter of a pt who continuously
attempts to get out of bed when she asks why the staff doesn't leave
all four bed rails up?
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Leaving the rails down increases the Patients often feel more secure with
risk of injury significantly. all rails up, regardless of safety.
, It's safer to keep all four rails up to There is no evidence that side
prevent falls. rails are effective.
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2 of 71
Term
Persons with normal age-related sensory changes are likely to have
the most difficulty distinguishing what kinds of phrases?
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Complex sentences that require Visual cues that involve colors and
deep comprehension. shapes.
Spoken pairs of phrases like
Written phrases that contain similar
"she's praised" and "fees
letters but different meanings.
raised".
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, 3 of 71
Term
An older male adult who is Hispanic states he is not having pain, but
he had knee replacement surgery 2 days ago. What pain scale would
be the best to use for this patient?
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The Present Pain Intensity Rating
The Visual Analog Scale.
Scale.
The Pain Assessment In Advanced
The FACEs Scale.
Dementia (painad) Scale.
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4 of 71
Term
An older man who is right-handed works as a carpenter, but he has
been left with a flaccid right arm after a thrombus occluded a
cerebral artery. What would be the most important goal for the plan
of care to help this pt achieve optimal health and wellness?
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Provide Regular Toileting. Explain each Step as you Go.
, Constipation Collaborate with OT.
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5 of 71
Term
The HCP believes an older woman has approximately 6 weeks to
live. After 2 months, the family remains at the bedside but, in the last
few days, are becoming increasingly impatient and irritable. This
pattern is least indicative of which of the following statements?
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Do a thorough assessment of the
Educate the family that this is
patient; this is a significant weight
normal behavior in this situation.
loss and of concern.
Grievers deal more easily with Family desires that the patient
known losses at known times. be relieved of her misery.
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6 of 71
Term
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