What is the nurse’s priority action for an older adult with pneumonia who becomes confused and has an SpO₂ of 89%?
The nurse applies oxygen via nasal cannula.
What is a classic symptom of peripheral artery disease?
Calf pain with walking that improves with rest is called claudication.
What is appropriate teaching for an older adult with reflux?
Eating smaller meals can reduce GERD symptoms.
What movement should be avoided after hip replacement?
Crossing the legs after hip surgery increases the risk of dislocation.
What tool helps diagnose delirium?
The CAM tool is used to assess delirium.
What findings indicate worsening pneumonia?
Tachypnea and hypotension are signs of severe pneumonia.
What is an appropriate intervention for venous insufficiency?
Elevating the legs helps reduce edema in chronic venous insufficiency
What is a common cause of diverticulitis?
Chronic constipation increases the risk for diverticulitis.
What condition causes bony nodules at the DIP joints?
Heberden nodes are found in osteoarthritis.
What is the most common type of dementia?
Gradual memory loss with beta-amyloid plaques is seen in Alzheimer’s disease.
What does frequent bronchodilator use indicate?
Using a rescue inhaler several times a day suggests asthma is not well controlled.
What finding indicates worsening heart failure?
A sudden weight gain of 3 pounds in 2 days suggests fluid retention
What intervention helps reduce mouth sores during chemo?
A soft-bristle toothbrush helps prevent oral mucositis during chemotherapy
What is appropriate care for gout flare-up?
Elevating and resting the joint helps during an acute gout attack.
What type of dementia follows multiple infarcts?
Stepwise cognitive decline after strokes suggests vascular dementia.
What are classic signs of OSA?
Loud snoring and daytime sleepiness are common symptoms of obstructive sleep apnea.
What should a nurse teach about microwave use after pacemaker placement?
Microwaves are safe for clients with pacemakers.
What are risk factors for colorectal cancer?
Obesity and high red meat intake increase the risk of colorectal cancer.
What nutrients are important for bone health?
Calcium and vitamin D intake help prevent osteoporosis.
What are common manifestations of delirium?
Fluctuating awareness and hallucinations are signs of delirium.
What is an early warning sign of respiratory compromise in older adults?
Confusion can be an early sign of hypoxia in older adults.
What is the most important lifestyle risk factor for heart disease?
Smoking is the greatest modifiable risk factor for cardiovascular disease.
What are common signs of diverticulitis?
LLQ pain with fever and bloating are symptoms of diverticulitis.
What is best practice timing for hip fracture repair?
Surgery within 24 hours is recommended for most hip fractures.
What is the priority intervention for delirium?
Treating the underlying cause is the first step in managing delirium.