The nurse caring for older adults in a long-term care facility ...

[bobbysung]

The nurse caring for older adults in a long-term care facility compares the residents' current weight with their usual weight. Which of the following would be a significant finding that should be reported to the physician?
 
  A) Weight loss within the past month that is greater than 5 of the total body weight
  B) Weight loss within the past month that is greater than 10 of the total body weight
  C) A loss of 5 or more of body weight within the past 3 months
  D) A loss of 15 or more of body weight within the past 6 months

Question 2

A nurse is caring for a client with Wernicke-Korsakoff syndrome. The nurse observes
  rapid eyeball movement from side to side. What term should the nurse use to document
  rapid eyeball movement from side to side in the client?
 
  A) Delirium tremens
  B) Palmar erythema
  C) Spider angioma
  D) Horizontal nystagmus

[bblaney]

Answer to Question 1

A
Feedback:
Weight loss within the past month that is greater than 5 of the total body weight, or a loss of 10 or more of body weight within the past 6 months, is significant. The nurse should report and discuss such findings with the client's physician and encourage the client to eat.

Answer to Question 2

D