The characteristic barrel chest of the older adult is the result of a combination of factors, including:
a. skeletal changes of aging.
b. increased muscular expansion of the chest wall.
c. less fibrous alveoli.
d. increased vital capacity.
A
Skeletal changes associated with aging include an emphasis of the dorsal curve of the thoracic spine, which contributes to a barrel chest.
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A 10-year-old boy has been brought to the emergency department (ED) by ambulance in apparent anaphylaxis after accidentally eating a snack bar that contained peanuts
The ED nurse should be aware that this patient's signs and symptoms are attributable to: A) Dissolution of the basement membranes of epithelium B) Rapid activation of the clotting cascade C) A massive release of histamine D) Activation of the sympathetic nervous system (SNS)
A client had a posterior colporrhaphy. Which statement by the client indicates an adequate understanding of discharge instructions?
a. "I'll eat a high-fiber diet so I won't get constipated again." b. "I'll expect my periods to decrease within the next 6 months." c. "I'll need to eat a low-residue diet." d. "I'll call the surgeon if I saturate more than one pad in 4 hours."
Which attempt at therapeutic humor by the nurse requires future follow up by the nurse manager?
A) Asking the older adult client, "Have you heard about the funny thing that happened to me on the way to work today?" B) Tickling the preschool client while providing them with A.M. care C) Joking with the teenaged client about their "radical haircut" after sutures where needed to close a scalp wound D) Laughing when a young adult client tells a "funny story about breaking my leg skiing".
A child with attention deficit/hyperactivity disorder is prescribed long-acting methylphenidate. What information would the nurse include when teaching the child and his parents about this drug?
A) "Give the drug three times a day: morning, midday, and after school." B) "This drug may cause drowsiness, so be careful when doing things." C) "Some increase in appetite may occur, so watch how much you eat." D) "Take this drug every day in the morning when you wake up."