An older client is diagnosed with venous insufficiency of the lower
extremities. The nurse expects the client to display which of the
following signs and symptoms? (Select all that apply.)
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Reddish brown discoloration
Thin, shiny dry skin
of the skin of the legs
, Pain when the legs are elevated Varicose veins
Legs are cool to touch
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2 of 112
Term
A nurse is caring for a confused client. which should the nurse do to
prevent this client from falling?
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encourage the client to use the place the client in a room near the
corridor handrails nurses' station
reinforce how to use the call bell maintain close supervision
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3 of 112
Term
When do you do fall assessments?
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, Examples include the following:
• verify safety of the environment (adequate lighting, avoid clutter on floors, no
scatter rugs, frequently used items at shoulder height or lower, etc.).
• teach patient to wear appropriate footwear.
• allow adequate time for tasks or activities
.• teach person how to use assistive devices such as canes, walkers, wheelchairs,
etc., if necessary.
• encourage older person to ask for help when necessary.
At Admission
With any changes
Annually
D. neighbor who visits daily and helps the person to the store weekly.
Active and involved in their own community
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4 of 112
Term
Which mental change is associated with aging?
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Gradual decline in cognitive
Confusion
skills
, Depression Inappropriate behavior
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5 of 112
Term
An older adult is diagnosed with Alzheimer's Disease. The nurse
knows that this diagnosis is made on the presence of which of the
following? (Select all that apply.)
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A decline from a previous Fluctuation of symptoms over the
level of functioning course of a 24-hour period
A gradual decline in cognitive
An insidious onset
abilities
The cognitive changes worsen in
the evening hours
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6 of 112
Term
A home health nurse is making a home visit to an older patient. A
nurse conducts a home safety assessment and screens the
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