Which of the following statements is true about a safe, effective care environment for older adults?
a. Cold beer with steak and potatoes is a good meal for an older adult on a hot day.
b. Older drivers are more likely to be in a fatal motor vehicle accident than younger drivers.
c. Barrier-free buses and low fares make public transit a safe transportation option.
d. A nurse's perception of temperature is a useful guide for patient thermal needs.
B
Although older adults have safer driving habits (e.g., less night driving, less driving in heavy traffic, shorter distances, less speeding or drunk driving) than younger drivers, the physical and sensory changes of aging contribute to a higher incidence of fatal accidents for older adults. Hot, heavy meals and alcohol should be avoided when ambient temperatures exceed 90° F. The fear of crime often deters older adults from using public transit. The older adult's perception of tem-perature is the important factor.
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The nurse is caring for a client complaining of a backache and administers ibuprofen. The client asks the nurse how the medication will help the pain. The nurse bases the response on ibuprofen's effect during which phase of nociception?
1. Transduction. 2. Transmission. 3. Perception. 4. Modulation.
A patient, age 52, is admitted with thrombocytopenia. The most important nursing intervention to prevent hemorrhage in this patient is to
a. prevent trauma and falling. b. avoid catheterization. c. monitor vitals every hour. d. begin immunocompromised (neutropenic) precautions.
A 15-year-old patient complains of left ankle pain after being tackled while playing football. He asks the nurse what tests he needs to have to determine if he has a strain or a fracture. How should the nurse reply?
1) "You don't need an x-ray; I can tell by the way your ankle looks and feels whether you have a strain or fracture." 2) "Sprains, strains, and fractures have similar symptoms at first; you will need an x-ray of the joint to be certain." 3) "We will need to get a venous Doppler study to make sure that there is not a fracture." 4) "An arterial Doppler will show whether the blood flow is interrupted, which is common for fractures but not for strains."
The nurse is caring for a patient who has been trying to quit smoking. The patient has been smoke free for 2 weeks but had two cigarettes last night and at least two this morning. What should the nurse anticipate?
a. The patient does not want to and will never quit smoking. b. The patient must pick up the attempt right where the patient left off. c. The patient will return to the contemplation or precontemplation phase. d. The patient will need to adopt a new lifestyle for change to be effective.