Which patient assessment data does the nurse recognize could contribute to an older adult's risk of hyperthermia?
Keeps room temperature at 72°F
Has a history of osteoarthritis
Takes furosemide 40 mg daily
Bathes daily with a hot shower
The Correct Answer is C
A. Keeps room temperature at 72°F.
Explanation: Maintaining a room temperature of 72°F is generally considered comfortable and is not likely to contribute to hyperthermia, especially when compared to higher temperatures. However, it's essential to consider individual preferences and comfort levels.
B. Has a history of osteoarthritis.
Explanation: Osteoarthritis itself is not directly associated with an increased risk of hyperthermia. However, limitations in mobility or difficulties with self-care due to osteoarthritis might indirectly impact the ability to stay cool and hydrated, so comprehensive care should consider the overall health status of the individual.
C. Takes furosemide 40 mg daily.
Explanation: Furosemide is a diuretic that increases urine production, leading to fluid loss. Dehydration or electrolyte imbalances resulting from diuretic use can contribute to an increased risk of hyperthermia, especially in hot weather. It's important for healthcare providers to monitor and manage medications, considering their potential effects on fluid balance and thermoregulation.
D. Bathes daily with a hot shower.
Explanation: While taking hot showers may contribute to temporary elevation of body temperature, bathing alone may not be a significant contributor to hyperthermia. However, if an older adult has difficulty tolerating heat or maintaining hydration, it's essential to consider the cumulative impact of various factors.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Because a conservatorship is the least restrictive alternative, a court hearing is not required.
Explanation: This statement is not accurate. Conservatorships are legal arrangements that involve the appointment of a conservator to manage the financial affairs and assets of an individual who is unable to do so themselves. While conservatorships may be necessary for the protection of the individual, they are not automatically considered the least restrictive alternative, and a court hearing is typically required to establish one.
B. The most legally restricting way individuals and property can be handled are through conservatorships and guardianships.
Explanation: This statement is partially true. Conservatorships and guardianships are legal mechanisms that grant authority to individuals (conservators and guardians, respectively) to manage the affairs of someone who is unable to do so themselves. While they involve legal restrictions, whether they are the most restrictive or not can depend on the specific details of the arrangement and the jurisdiction.
C. A conservatorship entails control over property, whereas a guardianship entails control over the person.
Explanation: This statement is true. In general, a conservatorship focuses on managing the financial affairs and assets of an individual, while a guardianship involves decision-making authority over personal and healthcare matters. The roles and responsibilities of conservators and guardians may vary by jurisdiction, but the distinction between control over property and control over the person is a common principle.
D. Conservators cannot be members of the conservatee's (client's) family.
Explanation: This statement is not universally true. In many cases, family members can be appointed as conservators. The court will typically consider the best interests of the individual in need of protection when appointing a conservator, and a family member may be deemed suitable if they can fulfill the responsibilities of the role. The specific rules regarding who can be a conservator may vary by jurisdiction.
Correct Answer is ["A","B","C","D","F"]
Explanation
A. Right to visitation from others except legal advisors, who must obtain permission from the nursing facility before visiting the older adult
Explanation: The right to receive visitors is generally protected, with some reasonable restrictions, to ensure the safety and well-being of residents.
B. Right to be free from restraints
Explanation: Residents have the right to be free from unnecessary physical or chemical restraints, as outlined in their Bill of Rights. Restraints should only be used when necessary for the safety of the resident or others, and their use should be minimized.
C. Right to have a say in their care and treatment
Explanation: Residents have the right to actively participate in decisions about their care and treatment. This includes being informed about their options and having the opportunity to express their preferences.
D. Right to voice grievances
Explanation: Residents have the right to voice complaints or grievances without fear of retaliation. The nursing home must have a system in place to address and resolve residents' concerns.
E. "Right to information about their health but not about their medications" is not accurate. Residents have the right to be informed about all aspects of their health, including information about medications prescribed to them. Information about medications is an important component of informed consent and shared decision-making.
F. Right to be free from abuse
Explanation: Residents have the right to be free from any form of abuse, whether it is physical, verbal, psychological, or any other form. Nursing homes must take measures to prevent and address any instances of abuse.
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