The nurse is assessing the cardiovascular status of an elderly client. Which of the following changes is expected to occur as a natural part of the aging process?
a. Increased elasticity of heart muscle
b. Increase in systolic blood pressure
c. Increase in arterial diameter
d. Thinning of venous walls
ANS: B
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The nurse is caring for a client with leukemia who has the priority problem of fatigue. What action by the client best indicates that an important goal for this problem has been met?
a. Doing activities of daily living (ADLs) using rest periods b. Helping plan a daily activity schedule c. Requesting a sleeping pill at night d. Telling visitors to leave when fatigued
The nurse should instruct clients with diabetes about "sick day management" of their disease by emphasizing which action?
a. Report blood glucose lower than 100 mg/dL to the health care provider. b. Continue taking the scheduled insulin or oral hypoglycemic agent. c. Use sliding scale insulin to manage hypoglycemia. d. Increase intake of carbohydrates for the duration of the illness.
As a leader on a rehab unit, you encourage all staff members to see themselves as having a role in decision making and quality care. You see your role as involving particular responsibilities in decision making but not as a hierarchal role
This view of decision making and leadership is con-sistent with: a. Trait theories. b. Complexity theory. c. Situated theory. d. Emotional intelligence.
A nurse is administering morphine sulfate to a postoperative patient. Which are appropriate routine nursing actions when giving this drug? (Select all that apply.)
a. Counting respirations before and after giving the medication b. Encouraging physical activity and offering increased fluids c. Monitoring the patient's blood pressure closely for hypertension d. Palpating the patient's lower abdomen every 4 to 6 hours e. Requesting an order for methylnaltrexone [Relistor] to prevent constipation