Hypothermia is a medical emergency defined as a core temperature less than 95°F. Which of the following tips to prevent hypothermia should you tell your elderly client? (Select all that apply.)

Use absorbent incontinent pads

Eat high-protein meals.

Layer clothing, and bed clothes,

Use a head covering

Use your comfort level to set the thermostat

Answer and Explanation

Correct Answer : B,C,D

A. Use absorbent incontinent pads.
Explanation: While absorbent incontinent pads are useful for managing incontinence, they do not directly contribute to preventing hypothermia. Maintaining warmth through appropriate clothing and insulation is more relevant to hypothermia prevention.

B. Eat high-protein meals.
Explanation: Consuming high-protein meals is important for maintaining energy and body heat. Protein metabolism produces heat as a byproduct, contributing to overall warmth.

C. Layer clothing and bedclothes.
Explanation: Layering helps trap warmth close to the body, providing insulation. This is an effective strategy to prevent heat loss and maintain body temperature.

D. Use a head covering.
Explanation: A significant amount of heat is lost through the head. Wearing a head covering, such as a hat or a cap, helps to minimize heat loss and maintain body temperature.

E. Use your comfort level to set the thermostat.
Explanation: Relying solely on personal comfort to set the thermostat may not provide adequate protection against hypothermia. It is important to keep indoor temperatures at a level that ensures warmth and minimizes the risk of cold exposure, especially for elderly individuals who may be more susceptible to temperature extremes.

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Correct Answer is ["A","B","C","D"]

Explanation

A. Making refreshment stations readily available

Explanation: Making refreshment stations readily available can encourage individuals with dementia to access snacks and beverages independently. This can help ensure a consistent intake of calories and nutrients throughout the day.

B. Caloric supplements with the meals

Explanation: Caloric supplements can provide additional nutrients and energy, especially if the client has difficulty consuming an adequate amount of food during meals. Consultation with a healthcare professional is recommended to determine the appropriate type and amount of supplements.

C. Providing feeding assistance

Explanation: Offering feeding assistance, such as help with cutting food into manageable pieces or providing cueing and encouragement during meals, can support individuals with dementia in maintaining proper nutrition.

D. Optimal social supports

Explanation: Optimal social supports, including family members, caregivers, or support groups, can play a crucial role in monitoring the nutritional status of individuals with dementia. Social interactions during meals can positively impact eating behaviors, and caregivers can provide assistance and encouragement.

A. A standard assessment tool will increase likelihood of obtaining accurate data. B. A standard assessment tool is required by Medicare and Medicaid, C. A standard assessment tool will increase reimbursement by Medicare and Medicaid. D. A standard assessment tool will increase the client's confidence in the nurse.

Correct Answer is A

Explanation

A. A standard assessment tool will increase the likelihood of obtaining accurate data.

Explanation: Standardized assessment tools, like the Mini-Cog, are designed to provide consistent and objective measures of specific aspects of a client's health, in this case, mental status. Using such tools helps ensure a standardized and systematic approach to data collection, increasing the reliability and accuracy of the information gathered. This, in turn, contributes to a more comprehensive understanding of the client's health status.

B. A standard assessment tool is required by Medicare and Medicaid.

Explanation: While some standardized assessment tools may be recommended or required by certain healthcare agencies or institutions, there isn't a broad requirement from Medicare and Medicaid for a specific tool. The use of assessment tools may vary based on clinical judgment and institutional policies.

C. A standard assessment tool will increase reimbursement by Medicare and Medicaid.

Explanation: The use of a specific assessment tool is not a direct factor that influences reimbursement by Medicare and Medicaid. Reimbursement is typically based on the overall care provided and documented, rather than the specific assessment tool used.

D. A standard assessment tool will increase the client's confidence in the nurse.

Explanation: While utilizing a standard assessment tool may contribute to the overall professionalism and thoroughness of care, the primary purpose is to obtain accurate and objective data rather than specifically increasing the client's confidence in the nurse. Confidence is often influenced by the nurse's communication, empathy, and overall competence in providing care.

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Hypothermia is a medical emergency defined as a core temperature less than 95°F. Which of the following tips to prevent hypothermia should you tell your elderly client? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

To prevent malnutrition in older clients with dementia, which of the following would benefit your client? (Select all that apply.)

Correct Answer is ["A","B","C","D"]

Explanation

A nurse conducts a comprehensive assessment of an older adult client. The nurse utilizes the Mini-Cog, a valid and reliable assessment tool to assess the individual's mental status. The nurse understands that the benefit of utilizing a standard assessment tool is what?

Correct Answer is A

Explanation

The nurse is trying to improve the nutritional status of residents in the nursing home. Which recommendations should the nurse implement?

Which option is part of a program that addresses bowel incontinence in an older adult client?

The nurse plans care to prevent a dangerous thermal environment for an older adult client who lives in a northern climate of the United States. Which client assessment data does the nurse recognize that can contribute to the risk of hypothermia? (Select all that apply.)

Which of the following is a true statement about elimination in older adults?

The OASIS was implemented to provide the format for a comprehensive assessment in the home health care setting. How is this assessment tool used? (Select all that apply.)

Which of the following statements is true about conservators?

The nurse assesses an older adult's cognitive status using a standard assessment instrument. Which of the following are cognitive assessment tools? (Select all that apply.)