After completing an assessment of an older patient, which finding should the nurse attribute to a pathological process rather than age-related respiratory changes?
A) Posture is slightly kyphotic
B) Slight wheeze on exhalation
C) Uses accessory muscles on expiration
D) Mucous membranes drier than younger clients'
B
Feedback:
While some use of accessory muscles, kyphosis, and drying of mucous membranes occur as part of the aging process, a wheeze would not be considered a normal, age-related change and could indicate a pathological process.
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Teaching patients and families is an important part of critical care nursing. What factor in today's critical care unit is a barrier to this education function?
A) Large numbers of inexperienced nurses B) Serious illness of patients C) Increased computer support D) Use of specialty educators
The patient complains that he will never adjust to his colostomy. In this situation, it would be best for the nurse to
a. encourage him to express his concern. b. suggest that he discuss his concerns with his physician. c. counsel him that everything will be all right. d. explain that his concerns will be dealt with when he is taught how to care for his colostomy.
A nurse educator is teaching nursing students about the application of personal protective equipment (PPE) and emphasizes the importance of appropriate technique when removing the face mask
Which student response indicates appropriate understanding? A) "I will touch the mask by the strings only." B) "I will bend the strip at the top of the mask." C) "I will tie the strings in a bow." D) "I will loop the ties over the ears."
When testing your patient for two-point discrimination, you should
a. first touch one fingertip with a sharp object and then a second fingertip, and assess if she can accurately report the sequence. b. simultaneously touch two points of one of her fingers with sharp objects, and assess if she can distinguish the two points. c. simultaneously touch a finger on her right hand and the corresponding finger on her left hand with two sharp objects, and assess if she can distinguish the two points. d. simultaneously touch a fingertip with two sharp objects, remove one stimulus, and then assess if she can detect that one point has been removed.