The older patient presents to the emergency department after stepping in front of a car at a crosswalk. After the patient has been triaged, the nurse interviews the patient. Which of the following comments would require follow-up by the nurse?

"I try to exercise, so I walk that block almost every.”

“I waited and stepped out when the traffic sign said go.”

"The car was going too fast, the speed limit is 20."

I was so surprised; I didn't see or hear the car coming."

Answer and Explanation

The Correct Answer is D

A.   Regular exercise is positive and does not require follow-up.
B.   Following traffic signals indicates the patient was being cautious.
C.   Complaining about the car's speed is relevant but does not indicate an issue needing follow-up.
D.   Being surprised and not seeing the car suggests a potential cognitive issue that warrants further investigation.

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Correct Answer is B

Explanation

A. While clarity is important, speaking loudly can be perceived as shouting; speaking clearly is more effective.
B. Reducing background noise, such as turning off the television, helps the patient focus on the conversation, which is crucial for effective communication.
C. Chewing gum can distract from the conversation and hinder clear speech.
D. Using large print may not directly assist in verbal communication for a hearing aid user.

A. Insert an indwelling urinary catheter B. Limit caloric and protein intake C. During a bath, assess for pain D. Turn the patient every 2 hours'

Correct Answer is D

Explanation

A. Inserting an indwelling urinary catheter could increase the risk of infection rather than prevent skin impairment.
B. Limiting caloric and protein intake can negatively impact skin integrity.
C. While assessing for pain is important, turning the patient regularly is a more direct intervention to prevent skin breakdown.
D. Regular repositioning helps alleviate pressure on areas susceptible to skin impairment, making it the most effective intervention.

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The older patient presents to the emergency department after stepping in front of a car at a crosswalk. After the patient has been triaged, the nurse interviews the patient. Which of the following comments would require follow-up by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An elderly patient is wearing a hearing aid. Which technique should the nurse use to facilitate communication?

Correct Answer is B

Explanation

Of the following interventions, which would be the most important for preventing skin impairment in a mobile patient with local nerve damage?

Correct Answer is D

Explanation

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