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Terms in this set (67)
,Which method elicits the most A. use reliable assessment tools for older adults
accurate information during a
physical assessment of an older Specific assessment tools (D) for an older adult,
adult? such as Older Adult Resource Services Center
A. use reliable assessment tools for Instrument, mini-mental assessment, fall risk,
older adults depression, or skin breakdown risk, consider
B. Review the past medical record age-related physiologic and psychosocial
for medications changes related to aging and provide the most
C. Ask the client to recount one's accurate and complete information. A and B are
health history subjective and may vary in reliability based on
D. Obtain the client's information the client's memory and caregiver's current
from a caregiver involvement. Although C is a good resource to
identify polypharmacy, a written record may not
be available or currently accurate.
,A client who has just tested B. discuss retesting to verify results, which will
positive for HIV does not appear to ensure continuing contact
hear what the nurse is saying
during post-test counseling. Which encouraging retesting supports hope and gives
information should the nurse offer the client time to cope with the diagnosis.
to facilitate the client's adjustment Although post-test counseling should include
to HIV infection? education about A, B, and C, retesting
A. teach the client about the encourages the client to maintain medical
medications that are available for follow-up and management.
treatment
B. discuss retesting to verify the
results, which will ensure
continuing contact
C. identify the need to test others
who have had risky contact with
the client
D. inform the client how to protect
sexual and needle-sharing partners
, The nurse is caring for a client with D. return to pre-illness weight
HIV infection who develops
Mycobacterium avium complex MAC is an opportunistic infection that presents
(MAC). what is the most significant as a TB like pulmonary process. MAC is a major
desired outcome for this client? contributing factor to the development of
A. free from injury of drug side wasting syndrome, so the most significant
effects desired outcome is the client's return to a pre-
B. maintenance of intact perineal illness weight. drug schedules and side effects
skin remain a life-long management problem. Client
c. adequate oxygenation outcomes for adequate oxygenation are often
D. return to pre-illness weight dependent on management of anemia,
maintenance of activities without fatigue, and
supplemental oxygen to prevent hypoxia. Skin
integrity is dependent upon resolution of
diarrhea, which is not as significant as optimal
nutrition.