Question

377. The nurse is caring for an 85 year old woman recovering from a fractured pelvis in a long term care facility. The woman's activity orders reads: ambulate with walker bid. After the nurse implements the order, which of the following charting entries is BEST? 1. "Patient ambulated well with Walker. States has no c/o stiffness or pain. Did not appear fatigued." 2. "Ambulated without difficulty for 20 minutes. Vital; signs remained stable. Color good." 3. "Walked full length of hall with walker. No difficulty with balance. Using walker correctly." 4. "Patient ambulated 60 feet independently with walker. Respirations 14 and unlabored." 378. The nurse receives a phone call from a nursing assistant who states that her five year old child has developed chickenpox. It would be MOST important for the nurse to ask which of the following questions? 1. "Have your other children had chickenpox." 2. "Does your child have a temperature. 3. "Have you had the chickenpox?" 4. "Do you have someone to watch your child? 379. The nurse knows that which of the following plans would be a priority for an infant with a positive PKU blood test? 1. Place the infant on Lofenlac formula 2. Administer medium-chain triglyceride (MCT) oil with each feeding. 3. Provide genetic counseling for the family 4. Place the infant on Lorenzo's oil treatments 380. A man is seen in the outpatient clinic for treatment of hypertension. The client expresses concern to the nurse that his wife has been unemployed for more than six months. He is afraid that soon they will 1. "These things always have a way of working themselves out." 2. "It's important for your health that you not worry too much." 3. "You're worried that you wont be able to pay the rent?"

Answer 1

377. The 85 years old woman recovering from a fractured pelvis in a long term care facility. The nurse order the client to ambulate with the walker bid.

Then the nurse charts the problems of the client. The best charting will be:

A. The patient ambulated well with the walker. Sates has no case of stiffness or pain, and she did not appear fatigued.

its because it covers all aspects like pain which is very common and stiffness which is seen after surgery. it also covers the ability of the client to walk that the nurse mentioned that she did not appear fatigued.

378. The nurse receives a phone call from a nursing assistant, who states that her fiver year child has chickenpox.

The most important question the nurse should ask is 3. Does your child have a temperature?

379. An infant with a positive PKU blood test should be placed on the Lofenlac formula diet.

Because it is a special diet designed for PKU patients.

380. A man is seen in an outpatient for the treatment of hypertension. The client is expressing his financial issue to nurse...

The nurse should advise the client It's important for your health that you not worry too much.

Because stress leads to many noncommunicable diseases with hypertension.