The nurse planning the care of a frail, malnourished, immobile patient recognizes which of the following as the best treatment to protect the patient's integument?
a. Offering the patient six small meals a day
b. Assisting the patient to sit in a chair three times a day
c. Turning the patient at least every 2 hours
d. Administering fluid boluses as directed by the healthcare provider
Question 2
A nurse is assessing a healthy, older adult patient for an exercise program to be offered at the local hospital. During the evaluation, the nurse notes the following vital signs: P = 72, RR = 16, BP = 132/70.
After 3 minutes of moderate-intensity running on the treadmill, the patient becomes short of breath and states, I have to stop. I can't do this anymore. The nurse measures his vital signs again: P = 152, RR = 40, BP = 172/98. She instructs him to rest. Vital signs return to baseline after 15 minutes. The nurse should recognize his symptoms as associated with which of the following?
a. Anxiety
b. Orthostatic hypotension
c. Limited activity tolerance
d. Respiratory distress
NURSE
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