To examine the patency of each nostril, the nurse should
a. Examine the nasal mucosa to ensure that it is pink and moist
b. Check the older person's sense of smell
c. Check for the presence of any nasal discharge
d. Ask the older person to inhale and exhale through each nostril while occluding the other nostril
D
The possibility of a deviated septum or large obstructive nasal polyp is suspected if an older person is unable to move air through one or both nostrils. Responses A, B, and C are part of the examination of the nose but do not address nasal patency, or the older person's ability to move air through the nose.
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A 32-year-old patient comes to the clinic complaining of shoulder tenderness, pain, and limited movement. Upon assessment the nurse finds edema. An MRI shows hemorrhage of the rotator cuff tendons
The patient is diagnosed with what stage impingement syndrome? A) Stage I B) Stage II C) Stage III D) Stage IV
When a patient falls to the floor in a generalized seizure, the nurse should:
1. cradle the head to prevent injury. 2. insert an object between the teeth to prevent the patient from biting his or her tongue. 3. manually restrain the limbs. 4. keep the patient on his or her back to prevent aspiration.
The nurse asks a young adult client if she is sexually active. The client asks why the nurse needs to know. What is the nurse's best response?
a. "I just need to make sure that the informa-tion you are providing is reliable." b. "I have to fill in answers to all of the questions on the health history form." c. "If you are sexually active, we should talk about ways to prevent getting HIV." d. "I will have to notify your partner if you have a sexually transmitted disease."
The nurse is working with the caregivers of a 32-month-old child. They are very concerned that their child and one of the child's playmates were discovered undressed
On questioning the children, it was clear that these children had been comparing and inspecting their bodies. The nurse would advise the caregivers that because of their child's stage of development and age, their best response would be: a. timely and logical consequences for unacceptable behavior b. punishment severe enough to prevent recurrence of behavior c. constant one-on-one supervision during all waking hours d. matter-of-fact manner by caregivers in responding