A 78 year-old client is admitted to the emergency room with a ...

[kellyjaisingh]

A 78 year-old client is admitted to the emergency room with a recurrence of congestive heart failure, with 4+ pitting edema of both legs. Which of the following psychosocial issues does the nurse need to assess first?
 
  1. Joint disease
  2. Loneliness
  3. Visual changes
  4. Financial changes

Question 2

When admitting a client with chronic pain, the nurse would focus on which of the following regarding pain management?
 
  1. The client's ability to perform activities of daily living
  2. The client's vital signs
  3. Past medical history
  4. Demographic data

[ApricotDream]

Answer to Question 1

4
Rationale: The symptoms of osteoarthritis appear in almost everyone by the age of 70; this is not a psychosocial issue for the older adult, but a physiologic concern

Answer to Question 2

1
Rationale: The focus of the assessment for the client with chronic pain is how well the client can perform activities of daily living, as an indication of how well the current pain relief measures are working. The client with chronic pain usually has normal vital signs, and the nurse would not be assessing demographic data or past medical history to determine the effectiveness of pain management, although it would be part of the data collection process for admission.

[kellyjaisingh]

Thanks

[ApricotDream]

Welcome