Pain is difficult to assess in older adults because:
a. drugs act more rapidly with age.
b. their language skills decline.
c. they tend to exaggerate symptoms.
d. sharp pain may be felt as a dull ache.
D
Pain is often an unreliable symptom in older adults because they lose pain perception and expe-rience pain in a different manner than those of other age groups. Older adults tend to think pain in aging is normal.
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Which mandatory practice is the most effective and significant nursing practice to prevent the spread of infection?
a. Strict and frequent handwashing by all people having contact with the patient b. Placement of patients in private rooms with high-efficiency particulate air (HEPA) filtration c. Administration of combinations of prophylactic antibiotics d. Creation of a "sterile" environment for the patient with the use of laminar airflow rooms
A homecare nurse visits a client in the home to conduct a fall risk assessment. The nurse assesses the client and the home for extrinsic risk factors for falls. Which of the following are extrinsic risk factors? (Select all that apply.)
a. The client has an unsteady gait. b. The client uses a cane, but the cane is not the appropriate size for the client. c. The client's home is cluttered. d. The client is on two different medications that cause orthostatic hypotension. e. There are no grab bars in the client's bath-room.
The nurse is preparing to conduct a physical examination of an adolescent patient for a school physical. Which examination approach would be the most appropriate for this patient?
A) Grouping body systems together to limit position changes B) Examining the right side of the body and then the left C) Head-to-toe assessment D) Major body systems first approach
Communication with clients from different cultures can be difficult at times. A nurse at the healthcare center is caring for a female client who does not know English
Which is the most appropriate method for the nurse to overcome the language barrier and provide effective healthcare? A) Ask a female professional translator to help B) Ask questions that can be answered by a "yes" or "no" C) Avoid using technical terms during conversation D) Use simple words and speak slowly