Answer to Question 1
ANS: B
Obtain an accurate weight, and make sure the scale is calibrated. For residents of long-term care facilities, always use the same scale for the same patient and, if there is a change in scale, make sure to note that beside the weight. Document what the patient is wearing, and always weigh in that same state. Significant weight loss is a quality indicator measure, and a pattern of weight loss in any facility will trigger an investigation by state and federal regulatory agencies. Ask the patient's usual body weight if possible. Calculate ideal body weight using the same formula as for any other population.
Answer to Question 2
ANS: C
Dehydration is common in the elderly and has serious consequences. The average fluid intake for community-dwelling elderly persons is less than 1,000 mL per day. Thirst is not a reliable indicator of the need for fluids, and most elderly individuals need reminders to drink fluids. The best method for monitoring hydration status is with the blood urea nitrogen/creatinine ratio; anything greater than 20:1 is highly suggestive of dehydration.
Assessing a person's spiritual and religious beliefs is an imiportant aspect of nursing care
The nurse cares for the postop client in the postanesthesia care unit (PACU).
Example of Health Care Services
Survivorship Care Plan
But tortoises on lusher islands where grass is plentiful and the need to reach into trees not so fre
ACCM Definitions of ICU Levels of Care