While planning care for elderly individuals, the nurse remembers the elderly are at a higher risk for developing dehydration because they have:
a. a higher total body water volume.
b. decreased muscle mass.
c. increased thirst.
d. an increased tendency toward developing edema.
ANS: B
The elderly are at higher risk for dehydration due to a decrease in muscle mass. The elderly have a decrease in total body water and thirst. The increased tendency to develop edema is not related to dehydration.
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The nurse conducting an otoscopic examination visualizes an eardrum that is shiny and pearl gray in color. The nurse would know that this assessment is consistent with
a. a history of otitis media. b. a normal tympanic membrane. c. blood in the middle ear. d. infection in the ear canal.
The nurse is caring for a client with increased cranial pressure. Which respiratory pattern should the nurse expect?
A. Bradypnea. B. Hyperventilation. C. Cheyne-Stokes. D. Biot's respirations.
Which of the following terms describes an abnormal accumulation of fluids in the interstitial spaces of the tissues?
A. irrigation B. edema C. cystitis D. diaphoresis
Anatomical landmarks for the ventrogluteal injection site are:
A. Greater trochanter and knee B. Anterior superior iliac spine and iliac crest C. Posterior superior iliac spine and iliac crest D. Acromion process, scapula, and axilla