What are internal factors that threaten the safety of the older adult? (Select all that apply.)
a. Decrease in flexibility
b. Slowed reaction time
c. Gait changes
d. Thermal hazards
e. Postural changes
ANS: A, B, C, E
Thermal hazards are not internal risk factors. All other options listed are internal risk factors.
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An older client is diagnosed with venous insufficiency of the lower extremities. The nurse ex-pects the client to display which of the following signs and symptoms? (Select all that apply.)
a. Thin, shiny dry skin b. Reddish brown discoloration of the skin of the legs c. Pain when the legs are elevated d. Varicose veins e. Legs are cool to touch
The nurse assesses a possible melanoma on the patient's skin. Which characteristic does the lesion have that is consistent with a melanoma?
a. Regular borders b. Larger than 6 mm c. Symmetrical borders d. Reddened coloration
A nurse is providing teaching to the parents of a child who has had a shunt inserted as treatment for hydrocephalus. The parents demonstrate understanding of the teaching when they make what statement?
A) "Having the shunt put in decreases his risk for developmental problems." B) "If he doesn't get an infection in the first week, the risk is greatly reduced." C) "He will need more surgeries to replace the shunt as he grows." D) "The shunt will help to prevent any further complications from his disease."
A patient with AKI has a high rate of catabolism. What is this related to?
a. Increased levels of catecholamines, cortisol, and glucagon b. Inability to excrete excess electrolytes c. Conversion of body fat into glucose d. Presence of retained nitrogenous wastes