The nurse is performing a physical assessment on an elderly client
The nurse evaluates the muscular skeletal system, understanding that the following may be normal in the geriatric client:(Select all that apply) Standard Text: Select all that apply. 1. Elderly clients have decreased ROM
2. Elderly clients have decreased subcutaneous fat that may affect ability to stay warm
3. Vigorous assessment techniques such as hopping on one foot is appropriate
4. Evaluation of ability to carry out ADLs may indicate a deviation from normal in the musculoskeletal system assessment
5. Warmth in one or more joints
1,4
Rationale: Elderly clients may have decreased ROM
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The nurse is planning interventions for an older patient who is prone to developing constipation. Which intervention would be appropriate for the nurse to implement with this patient?
A) Increase fluids and encourage activity B) Scheduled administration of oil-based laxatives C) Provide normal saline enemas every 2 to 3 days D) Reduce activity and provide senna each day before bed
A client has diabetes mellitus. Her daughter has recently been diagnosed with Graves' disease. The client asks the nurse if she is responsible for the fact that her daughter has Graves' disease. Which is the best response of the nurse?
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Your client has a fractured hip as a result of a fall. What nursing diagnosis would be most appropriate?
1. Impaired physical mobility 2. Acute pain 3. Activity intolerance 4. Risk for injury
The nurse is caring for a family with a 3-year-old child who is autistic. The nurse should explain to the parents that children with autism:
A) Are likely to have seizure disorders in addition to autism. B) Are typically higher in IQ range than other children. C) Usually have a comorbid diagnosis of dyslexia. D) Have better outcomes if they are male.