A nurse inspects the thorax of an older adult patient who has chronic lung disease. An expected finding would be a(n):
a. round shape of the chest.
b. barrel-shaped chest.
c. AP diameter greater than the transverse diameter.
d. AP diameter less than the transverse di-ameter.
B
In adults, a barrel-shaped chest (AP diameter = transverse) characterizes chronic lung disease. Normally the chest is symmetrical, with the anteroposterior diameter one third to one half the size of the transverse diameter. Infants have an almost round shape with a 1:1 ratio between the AP and transverse diameters. In addition, a more rounded chest is associated with older age.
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Which is a true statement about suicide among older adults?
a. Older adults and young adults manifest suicidal intent in similar manners. b. Older female adults who are African American have the highest risk of suicide among elders. c. Ethics require that the nurse respects a person's intent to terminate his or her own life. d. A therapist's hopelessness or desire to drop a patient from therapy can contribute to the risk of suicide.
The nurse manager tells a newly hired nurse that the unit practices functional nursing. What should the new nurse expect?
1. One nurse has responsibility for all the medications on the unit. 2. One nurse has responsibility for all the needs of three clients. 3. One charge nurse and one respiratory therapist have responsibility for all clients. 4. One nurse and one nursing assistant have responsibility for ten clients.
Interventions to improve client problems related to xerostomia include
A) chewing regular chewing gum. B) discouraging the use of oral mouth rinses. C) placing a dehumidifier in the home environment. D) avoiding foods that are difficult to chew or swallow.
Bismuth subsalicylate (Pepto Bismol) is a common OTC remedy for gastrointestinal complaints. Bismuth subsalicylate:
1. May lead to toxicity if taken with aspirin 2. Is contraindicated in children with flu-like illness 3. Has antimicrobial effects against bacterial and viral enteropathogens 4. All of the above