1. A frail, elderly client is admitted to the unit with a diagnosis of pneumonia. Which finding is most important for the registered nurse (RN) to report to the healthcare provider? . Confusion and dehydration 2. After taking a 10-day course of an antibiotic that was ineffective, a frail, elderly client with chronic obstructive pulmonary disease (COPD) is admitted for pneumonia. The client has a long history of smoking and still smokes a pack of cigarettes a day. Which finding should the registered nurse (RN) report to the healthcare provider? Crackles and pulse oximetry level of 88% 3. A new resident in an assisted living facility is an older client who is experiencing shortterm memory loss and confusion. Which activity should the registered nurse (RN) schedule the client to do during the day? Daily exercise group 4. The registered nurse (RN) is caring for an older female client with a 20 year history of rheumatoid arthritis (RA), who is admitted for carpel tunnel release. Which finding associated with RA should the RN document? Small joint involvement in fingers. 5. An older client is transferred to a telemetry unit after placement of a pacemaker. What action should the registered nurse (RN) take first? Establish telemetry monitoring. 6. An older female client who has been taking hydrocodone/acetaminophen (Lortab) q4 

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