A nurse assessing an older client discovers that the client has become lethargic and confused over the past few hours. Which of the other observations made by the nurse during the assessment are consistent with a state of dehydration?
A) tenting on the forearm
B) temperature 98.8F, orally
C) long tongue furrows
D) weight gain
Question 2
Which nursing action indicates that medication reconciliation for an older patient is incomplete?
1. Medications prescribed by physicians were the focus.
2. Medications were identified, verified, and compared with the physician's orders.
3. All medications, including herbal or mineral supplements and vitamins, were reviewed.
4. Medication reconciliation occurred when the patient was transferred to another care area.
The tone of the nurse-patient introduction sets the stage for the patient interview and patient care
Testing Visual Fields by Confrontation: The nurse and patient should be approximately at an eye to e
Rinne Test, Assessing Bone Conduction
The nurse cares for the postop client in the postanesthesia care unit (PACU).
Algorithm for assessing a patient at risk for suicide.
Measuring the client’s weight with a standard platform scale