An older patient is diagnosed with tuberculosis. What should be included in the nurse's disease process instruction? Select all that apply.
1. It can affect other body tissues.
2. It is uncommon in nursing homes.
3. It spreads by airborne transmission.
4. It is a chronic infection of the lungs.
5. Older people are at higher risk for the disease.
1. It can affect other body tissues.
3. It spreads by airborne transmission.
4. It is a chronic infection of the lungs.
5. Older people are at higher risk for the disease.
Explanation: 1. Tuberculosis is a chronic extrapulmonary infectious disease which means it affects body tissues other than the lungs.
2. Older adults are at increased risk of initial infection, particularly those who reside in nursing homes.
3. Tuberculosis spreads from person to person by airborne transmission.
4. Tuberculosis is a chronic pulmonary infectious disease.
5. The number of cases of tuberculosis is highest in people over 65 years of age.
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The nurse is caring for a seriously ill patient whose laboratory results show a serum creatinine level of 3.5 mg/dL and a serum BUN of 35 mg/dL. Which conclusion can the nurse draw from these test results?
a. The patient is severely dehydrated. b. The patient's kidneys have been damaged. c. The patient has a urinary tract infection. d. The patient has developed a renal calculus.
The new mother calls the nurse to her room to show how her baby is "jerking around" when she changes his position. The nurse explains that this response is the normal:
a. traction reflex. b. Babinski reflex. c. tonic neck reflex. d. Moro reflex.
The nurse is assessing an older adult client for trauma following a motor vehicle accident. Which special considerations does the nurse understand must be taken for this client?
A) The effects of blood loss may be delayed. B) Age-related changes in cognition may increase the risk of delirium. C) A narrowed tolerance for a change in blood volume may occur. D) The description of the mechanism of injury may be delayed due to word finding difficulties.
The nurse plans to use a trochanter roll when repositioning a patient. Where should the nurse place the trochanter roll?
a. Under the small of the back b. Behind the knees when supine c. Alongside the ilium to mid-thigh d. In the palm of the hand with fingers flexed