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A 72-year-old woman was recently widowed. She worked as a teller at a bank for 40 years and has been retired for the past 5 years. She never learned how to drive. She lives in a rural area that does not have public transportation. Which psychosocial change does the nurse focus on as a priority?

A.

Sexuality

B.

Retirement

C.

Social isolation

D.

Environment

Answer and Explanation

The Correct Answer is C

A. While changes in sexuality may occur in older adults, there is no indication that this is a concern for this client at this time.
B. Retirement can cause psychosocial changes, but this client has been retired for 5 years, making it a less immediate concern.
C. The client is at high risk for social isolation due to widowhood, lack of transportation, rural living, and the absence of a driving license. Social isolation is a major psychosocial risk in older adults and can lead to depression, cognitive decline, and physical deterioration.
D. Environmental factors (rural area, lack of transport) contribute to the risk of social isolation but are not the psychosocial issue itself.


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Related Questions

Correct Answer is D

Explanation

A. Varied clinical databases can be a feature, but not necessarily an advantage.
B. Systems usually aim to reduce cost long-term.
C. They are designed to save time, not increase chart reading time.
D. Reduced errors of omission is a key advantage of using a clinical information system as it promotes accuracy, real-time data entry, and integration of care.

Correct Answer is ["120"]

Explanation

Infusion rate: 120 mL/hr

Drop factor of the tubing: 60 gtt/mL

First, we need to convert the infusion rate from mL/hr to mL/min:

Infusionrate(mL/min)=60minutes/hourInfusionrate(mL/hr)​

Infusionrate(mL/min)=60minutes/hour120mL/hr​=2mL/min

Now we can calculate the drops per minute using the drop factor:

Drops/minute=Infusionrate(mL/min)×Dropfactor(gtt/mL)

Drops/minute=2mL/min×60gtt/mL=120gtt/min

Therefore, the nurse should set the manual IV infusion to deliver 120 gtt/min.

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