The nurse is aware that the older adult is a greater surgical risk because the older adult has: (Select all that apply.)
a. fewer physiologic reserves.
b. more probability of a chronic illness.
c. more vulnerability to fluid loss.
d. less tolerance for pain.
e. less psychological stamina.
A, B, C
The older adult does have less physiologic reserves, more probability for a chronic illness, and more vulnerability to fluid loss. There is no indication that the older adult has less tolerance for pain or less psychological stamina.
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An older adult being treated for a burn on his lower leg and foot is surprised at its severity. He says, "It really didn't hurt very badly when I did it." What should the nurse consider before responding?
1. Patients can block out portions of painful stimuli if it is overwhelming. 2. Aging can decrease touch sensitivity to the feet and lower legs. 3. Poor circulation has probably resulted in death of the nerve endings in the patient's legs. 4. Burns on the legs often appear very severe because the skin is so thin.
When the nurse reads the diagnosis of centrilobar emphysema, the nurse recognizes that this type of emphysema is characterized by:
1. no significant smoking history in the patient. 2. enlarged and broken down bronchioles, with intact alveoli. 3. hypoelastic bronchi and bronchioles. 4. deficiency of the enzyme inhibitor alpha1-antitrypsin.
How can the student nurse increase studying efficiency?
a. Maintaining a supply of simple carbohy-drates for a quick energy spurt b. Alternating mental and physical activities to increase productivity c. Working nonstop without breaks to focus concentration d. Delegating tasks of household chores to family members
Identify a true statement about megaloblastic anemia.
A. Megaloblastic anemia is a condition in which there is a large, immature form of the red blood cell, which does not function as efficiently as the mature form. B. Megaloblastic anemia is a condition in which the number of red blood cells or the amount of hemoglobin inside the red blood cells is less than normal. C. Megaloblastic anemia is a condition in which the total number of white blood cells circulating in the blood is less than normal. D. None of the above are correct.