Hesi

The nurse should instruct a client with an ileal conduit to empty the collection device frequently because a full urine collection bag may:

Cause the device to pull away from the skin

A client has been diagnosed as "brain dead". The nurse understands that this means that the client has:

no cortical functioning with some reflex breathing

A nurse is preparing to administer an ophthalmic medication to a client. What techniques should the nurse use for this procedure? (Select all that apply.)

1)Clean the eyelid and eyelashes. 2) Apply clean gloves before beginning of procedure 3)Press on the nasolacrimal duct after instilling the solution

An 85-year-old client has just been admitted to a nursing home. When designing a plan of care for this older adult the nurse recalls the expected sensory losses associated with aging. (Select all that apply.)

1)Diminished sensation of pain 2) Impaired hearing of high-frequency sounds

The client asks the nurse to recommend foods that might be included in a diet for diverticular disease. Which foods would be appropriate to include in the teaching plan? (Select all that apply.)

1)Whole grains 2)Cooked fruit and vegetables 3)milk and eggs

What should the nurse assess to determine whether a 75-year-old individual is meeting the developmental task associated with aging?

Attainment of a sense of worth as a person..............self worth

A nurse discusses the philosophy of Alcoholics Anonymous (AA) with the client who has a history of alcoholism. What need must self-help groups such as AA meet to be successful?

Belonging

An older client is apprehensive about being hospitalized. The nurse realizes that one of the stresses of hospitalization is the unfamiliarity of the environment and activity. How can the nurse best limit the client's stress?

Explain what the client can expect.

A nurse is preparing a community health program for senior citizens. The nurse teaches the group that the physical findings that are typical in older people include:

Increased blood pressure and decreased hormone production

A nurse provides crutch-walking instructions to a client that has a left-leg cast. The nurse should explain that weight must be placed:

On the hands.

A client has a stage III pressure ulcer. Which nursing intervention can prevent further injury by eliminating shearing force?

With the help of another staff member, use a drawsheet when lifting the client in bed