The nurse is assessing a 78-year-old client who has been admitted ...

[ts19998]

The nurse is assessing a 78-year-old client who has been admitted to the emergency department with chest pain. The nurse plans to assess the client's skin turgor:
 
  1. On the forearms.
  2. On the sternum.
  3. On the knee.
  4. On the back of the neck.

Question 2

An older client is to undergo radiographic studies with contrast of the heart. What should the nurse ask as part of this client's pre-procedure assessment?
 
  1. Ability to tolerate activity
  2. Ability to breathe well during exercise
  3. If the client has an allergy to seafood
  4. Has the client signed the consent

[sarah_brady415]

Answer to Question 1

Answer: 2

1. The forearms often have loose flesh, and are not a good area to assess turgor in the older adult.
2. The sternum is the best place in the older adult to check skin turgor.
3. The knee is not the best choice of areas to check for skin turgor in the older adult.
4. The back of the neck is apt to have loose skin, which would make assessing turgor very difficult in the older client.

Answer to Question 2

Answer: 3

1. Radiography does not require activity on the part of the client.
2. The client will not be exercising for this test.
3. Contrast media for this test contain iodine, so ascertaining allergies to iodine or seafood is a priority assessment.
4. Consent forms are not required for this test.

[ts19998]

Excellent

[marict]

Gracias!