The home care nurse is visiting a patient who was discharged to home after a procedure at an ambulatory surgical center.
The patient lives alone in a senior retirement community. The nurse's assessment docu-ments mild dysphasia. The patient repeatedly asks, Why is there a bandage on my arm? and is not able to state the appropriate day and year. Appropriate planning for the patient should include:
a. Assessing diet and meal preparation, assessing environment for safety problems, referral to a dementia program
b. Attending English class to improve speech, transferring finances to a conservator, employing an aide to help with medications
c. Arranging Meals on Wheels, attending speech therapy, relocation to a skilled nursing facility if no improvement in 1 month
d. Arranging an appointment at a geriatric assessment program, OT referral for swallowing therapy, teaching to manage public transportation
Question 2
Which of the following should the nurse use as a basis for explaining the etiology of Alzheimer's disease to the family of a patient with this disease?
a. It is a secondary dementia indicated by loss of recent memory and disorientation to time and place.
b. It is a primary dementia that is incurable, irreversible, and fatal. It is caused by the presence of a beta-amyloid protein in the neurons resulting in senile plaques.
c. It is a secondary dementia that is treatable with analysis of the diet and removal of toxic substances from the diet and environment.
d. It is a primary dementia characterized by stepwise decreases in cognitive abilities. It is irreversible but treatable with antihypertensive medications.
B, The nurse teaches the postoperative client to use an incentive spirometer to expand the lungs.
The nurse uses a noninvasive bladder ultrasound to measure the client’s bladder volume.
An example of a medical history sheet to list patient problems.
Patient with rheumatoid arthritis.
Patient Physical Status Classification
Patient diagnosed with type 2 diabetes mellitus. Periodontal examination revealed deep periodontal ...