Which behavior indicates the nurse is using a team approach when ...

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Which behavior indicates the nurse is using a team approach when caring for a patient who is experiencing alterations in mobility?
 
  a. Delegates assessment of lung sounds to nursing assistive personnel
  b. Becomes solely responsible for modifying activities of daily living
  c. Consults physical therapy for strengthening exercises in the extremities
  d. Involves respiratory therapy for altered breathing from severe anxiety levels

Question 2

The nurse is caring for an older-adult patient with a diagnosis of urinary tract infection (UTI). Upon assessment the nurse finds the patient confused and agitated. How will the nurse interpret these assessment findings?
 
  a. These are normal signs of aging.
  b. These are early signs of dementia.
  c. These are purely psychological in origin.
  d. These are common manifestation with UTIs.

[Carissamariew]

Answer to Question 1

ANS: C
The nurse should collaborate with other health care team members such as physical or occupational therapists when considering mobility needs. For example, physical therapists are a resource for planning ROM or strengthening exercises. Nurses often delegate some interventions to nursing assistive personnel, but assessment of lung sounds is the nurse's responsibility. Nursing assistive personnel may turn and position patients, apply elastic stockings, help patients use the incentive spirometer, etc. Occupational therapists are a resource for planning activities of daily living that patients need to modify or relearn. A mental health advanced practice nurse or psychologist should be used for severe anxiety.

Answer to Question 2

ANS: D
The primary symptom of compromised older patients with an acute urinary tract infection or fever is confusion. Acute confusion in older adults is not normal; a thorough nursing assessment is the priority. With the diagnosis of urinary tract infection, these are not early signs of dementia and they are not purely psychological.

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TYSM

[zacnyjessica]

Thanks for the timely response, appreciate it