A 91-year-old adult with advanced dementia was admitted a sk…

A 91-year-old adult with advanced dementia was admitted a skilled nursing facility with a large, draining, stage 4 pressure ulcer following a hospitalization for pneumonia.  The resident’s healthcare surrogate states the resident has been bedbound for some time and physical care now exceeds the caregiver’s abilities. The patient is receiving 4 time per day bolus tube feedings via a gastrostomy tube and is on contact precautions for MRSA. What intervention should the NP incorporate into the current treatment plan?

While educating a group of women who are considering a pregn…

While educating a group of women who are considering a pregnancy, the nurse explains the importance of a healthy diet including folic acid, exercise, avoidance of substance abuse, and general health/well-being prior to becoming pregnant.  Which of the following statements is the most correct as to when prenatal care should begin?

A 68-year-old adult with a history of hypertension and myoca…

A 68-year-old adult with a history of hypertension and myocardial infarction presents for an annual Medicare Wellness exam. There was evidence of mild cognitive impairment at age 65 years. during the Welcome to Medicare exam. These findings were unchanged during the past two years’ wellness exams and during regular follow-up visits for hypertension during the past year. During today’s wellness exam, the primary care nurse practitioner (NP) notes that the client’s performance on cognitive assessment screenings has slightly deteriorated since the last regular healthcare visit.   In planning a clinical work-up for this patient, the NP establishes a working diagnosis of: