Client newly admitted to the medical-surgical unit. The nursing intake assessment reveals:Weight: 120 lbs (previously 132 lbs 3 months ago)Appetite: “I just don’t feel like eating anymore”Diet: Eats only half of meals; sometimes skips meals entirelyMedications: Metformin, lisinopril, diphenhydramine nightly for allergiesSymptoms: Fatigue, mild dizziness, occasional confusion, dry mouth, and constipationMedical History: Type 2 diabetes, hypertension, mild cognitive impairmentBased on this scenario which of the following should the nurse identify as the priority problem?

An elderly hospitalized client admitted 3 days ago with a COPD exacerbation is having difficulty sleeping due to frequent disruptions at night. The nurse wants to follow best practices to promote sleep while ensuring patient safety.Which of the following interventions does the nurse identify as the most appropriate?

A client expresses difficulty sleeping and experiences significant daytime fatigue. Even after drinking a full pot of coffee to stay awake, the fatigue persists, leading to frequent naps. Although the client once enjoyed attending the senior center daily, exhaustion now prevents this activity. Current activity consists of walking their dog twice daily. Which of the following are important to discuss with the client? Select all that apply.

A nurse in a long-term care facility witnesses an attendant psychologically abusing a client with dementia. What actions are suggestive of this type of abuse?

A client is diagnosed with dementia and is exhibiting the following behaviors:Ambulatory but disorientated to time and place.Talking with Pamela, Susie, John and Mrs. Bigelow. Family states these are friends from 4th grade and Mrs. Bigelow was their teacher.Patient starts giggling and whispering. . .and tries to leave the dining room where lunch is being served.How should the nurse respond?

The nurse is caring for a client with late-stage dementia who is expected to die within months. The client has been refusing food and fluids, and the care team has proposed insertion of a percutaneous endoscopic gastrostomy (PEG) feeding tube. What is the nurse’s initial action?

An elderly client is admitted from a nursing home with new onset confusion and lethargy.Vitals signs are B/p 140/80, P 90, RR 22 and Temperature is 99.2 F.Client has a history of incontinence and has a foley catheter in place to drainage.Lungs are clear to auscultation, bowels sounds normal-tends to be constipated.No other assessment abnormalities.What does the nurse suspect may be the cause of the sudden change in this client’s condition?

The nurse provides a seminar on the impact of the sun on the skin with a group of older community members. Which statement indicates to the nurse that the older clients understood the education?

The nurse understands that time spent in rapid eye movement sleep (REM) and delta wave sleep is needed for mind and body restoration. Which of the following would interfere with adequate rest and restoration?

Client tells the nurse, “I have trouble falling asleep at night. I usually eat a snack before bed. Which snack would best promote sleep?”  How should the nurse respond?