During a health interview, an older adult patient has difficulty remembering information about the health history. In order to get the information more reliably, the nurse should:

gather information from a family member accompanying the patient.

omit the interview and proceed to a physical examination.

repeat the questions at the end of the visit to cross check for accuracy of data.

reassure the patient that forgetfulness is a normal part of the aging process.

Answer and Explanation

The Correct Answer is A

A.   Gathering information from a family member can help obtain a more accurate history, especially when the patient has difficulty recalling specific details due to age-related memory changes.
B.   Omitting the interview would lead to incomplete information and potentially delay appropriate care.
C.   Repeating the questions may be helpful but may not always yield reliable data if the patient struggles to remember key details.
D.   While forgetfulness can be normal with aging, healthcare providers need to ensure accurate information is collected to provide optimal care.

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Correct Answer is A

Explanation

A. Performing a quick focused assessment at the beginning of each shift allows the nurse to identify any immediate needs or changes in the patient's condition, ensuring timely and appropriate care. This practice helps in maintaining continuity of care and promptly addressing any issues that may arise during the shift.
B. While a comprehensive assessment is typically performed upon admission to the unit, a quick focused assessment is not specifically required at this time. The initial comprehensive assessment will cover all necessary information.
C. At discharge, the focus is on providing discharge instructions and ensuring the patient understands their care plan after leaving the facility. A quick focused assessment is not typically performed at this time.
D. While it is important to check on the patient in the morning, a quick focused assessment is not specifically required at this time. The beginning of each shift is a more critical time to perform this assessment to ensure continuity of care.

A. check the patient's record to determine his baseline blood pressure. B. notify the charge nurse of the hypotension. C. check medications that might be the cause of the irregularity. D. notify the doctor of the bradycardia.

Correct Answer is A

Explanation

A. This is because the patient's blood pressure of 98/66 mm Hg, while on the lower side, may be normal for them. It's important to compare it to their baseline to determine if there has been a significant change.
B. The blood pressure is within a normal range for an adult, so immediate notification of hypotension is not required.
C. This can be done after determining if there is a significant change from the baseline.
D. The pulse is not bradycardic (it is within a normal range), so there is no immediate need to notify the doctor regarding bradycardia.

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During a health interview, an older adult patient has difficulty remembering information about the health history. In order to get the information more reliably, the nurse should:

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Naxlex Comprehensive Predictor Exams

It is the responsibility of the nurse to perform a quick focused assessment of the patient upon:

Correct Answer is A

Explanation

A 45-year-old patient who is alert and oriented has a blood pressure of 98/66 mm Hg, radial pulse of 76 beats/min (irregular), and respirations of 18 breaths/min (regular). The best nursing intervention is to:

Correct Answer is A

Explanation

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