A home health nurse is conducting a home visit.

Exhibits

Click to highlight the findings that are risk factors for malnutrition in older adults. To deselect a finding, click on the finding again.

Nurses' Notes

Client is an older adult client with a history of osteoporosis, hypertension, and depression. Client is living independently with help of an aid for housekeeping and laundry. General appearance is neat, hair combed, clothing appropriate for weather. Skin color appropriate for ethnicity, overall skin is dry with bruising and small skin tear noted on knuckle of right hand. Dentures in glass on table. Client reports dentures don't fit well and make their mouth sore. Cough noted while client was drinking juice. Client reports appetite is decreased due to not being very hungry. Client reports eating mostly dinners that adult child prepares and freezes for them. Client states, "I just have to heat them up." Client also states. "Food just doesn't taste good anymore, and have a hard time chewing anything."

A nurse is instructing a woman who is contemplating pregnancy about nutritional needs. To reduce the risk of giving birth to a newborn who has a neural tube defect, which of the following information should the nurse include in the teaching?

A nurse is teaching about fetal development to a group of clients in the antenatal clinic. Which of the following statements should the nurse include in the teaching?

A nurse is teaching a class of older adults about the expected physiologic changes of aging. Which of the following changes should the nurse include in the discussion? (Select all that apply.) (Select All that Apply.)

A nurse in a prenatal clinic is caring for a client. Using Leopold maneuvers, the nurse palpates a round, firm, moveable part in the fundus of the uterus and a long, smooth surface on the client's right side. In which abdominal quadrant should the nurse expect to auscultate fetal heart tones?

A nurse is preparing to administer methylnaltrexone 12 mg subcutaneously to a client who has opioid-induced constipation. Available is methylnaltrexone 8 mg/0.4 mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is preparing to measure the fundal height of a client who is at 22 weeks of gestation. At which location should the nurse expect to palpate the fundus?

A nurse in a prenatal clinic is reviewing the health record of a client who is at 28 weeks of gestation. The history includes one pregnancy terminated by elective abortion at 9 weeks; the birth of twins at 36 weeks; and a spontaneous abortion at 15 weeks. According to the GTPAL system, which of the following describes the client's current status?

A nurse is assessing an older adult client who reports a sudden onset of urinary incontinence. The nurse should recognize which of the following conditions is most likely to cause incontinence in the older adult client?

A nurse at a prenatal clinic is caring for a client who is in her first trimester of pregnancy. The client tells the nurse that she is upset because, although she and her husband planned this pregnancy, she has been having many doubts and second thoughts about the upcoming changes in her life. Which of the following is an appropriate response by the nurse?

A nurse is providing teaching about Kegel exercises to a group of clients who are in the third trimester of pregnancy. Which of the following statements by a client indicates understanding of the teaching?