A family member asks why an older patient is experiencing frequent episodes of pneumonia. What factors should the nurse discuss when responding? Select all that apply.
A. Reduced bladder contractility
B. Diminished thirst reflex
C. Less production of sputum
D. Reduced mucociliary clearance in the lungs
E. Diminished cough reflex
Answer: E
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Which of these is accurate about the Health Insurance Portability and Accountability Act (HIPAA) Security Rule and the use of technology?
1. Does not specify the use of particular technology 2. Refers to the Joint Commission standards for technology 3. Specifies the utilization of HIPAA approved technology 4. Provides a monthly Web-based list of approved technology
Which of the following statements is not true of an Institutional Review Board (IRB)?
A) An IRB must consist of at least five members. B) All IRB members must have an affiliation with the institution. C) An IRB can use an expedited review when there are minimal risks. D) Certain types of research are exempt from the IRB process.
What would the nurse include when providing discharge instructions to a patient recovering from a kidney transplant?
1. "Your diet should be high in protein and low in carbohydrates." 2. "Weigh yourself once a week and notify your physician of any weight gain." 3. "You should avoid exercise such as walking for the first week post-op." 4. "Contact the transplant center if your cardiologist changes your heart medications."
What technique does the nurse use to test the patellar deep tendon reflex?
a. Using the end of the handle on the reflex hammer, the nurse strokes the lateral aspect of the sole of the patient's foot from heel to ball. b. Ask the patient to flex one knee to 90 degrees, while the nurse dorsiflexes the ankle and strikes the appropriate tendon on the foot with the flat end of the reflex hammer. c. Ask the patient to flex one knee to 45 degrees, while the nurse plantar flexes the ankle and strikes the appropriate tendon of the ankle with the pointed end of the reflex hammer. d. Ask the patient to flex one knee to 90 degrees, while the nurse strikes the appropriate tendon in the knee with the blunt end of the reflex hammer.