The nurse makes recommendations to an older patient's plan of care for safety measures
Which of these musculoskeletal changes should the nurse consider can contribute to a reduction in an older adult's confidence level in being able to safely perform routine tasks?
a. Increased reflexes
b. Increased joint flexibility
c. Rapid nerve transmissions
d. Slower muscle response time
ANS: D
Muscle responses slow, so more time is required to perform tasks, and reaction times are increased.
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Which teaching point should the nurse plan to include when caring for a patient whose vision is corrected to 20/200?
a. How to access audio books b. How to use a white cane safely c. Where Braille instruction is available d. Where to obtain specialized magnifiers
After the nurse has received change-of-shift report, which patient should the nurse assess first?
a. A patient with pneumonia who has crackles in the right lung base b. A patient with possible lung cancer who has just returned after bronchoscopy c. A patient with hemoptysis and a 16-mm induration with tuberculin skin testing d. A patient with chronic obstructive pulmonary disease (COPD) and pulmonary function testing (PFT) that indicates low forced vital capacity
A child is being prepared for an invasive procedure. The mother of the child has legal custody but is not present. After details of the procedure are explained,the legal informed consent for treatment on behalf of a minor child will be obtained from
1. the divorced parent withoutcustody. 2. a cohabitating unmarried boyfriendof the child's mother. 3. a grandparent who lives in the homewith the child. 4. a babysitter with written proxyconsent.
Which of the following clients is most at risk for an STD?
1. Rebecca, a 16-year-old Caucasian who recently became sexually active with her 16-year-old boyfriend Brent 2. Sarah, a 35-year-old divorced African American who has had sexual relations with two different men over the past 4 years 3. Tom, a 25-year-old single Caucasian who was treated 3 years ago for gonorrhea and is infected with human papilloma virus. 4. Ursula, a 40-year-old Caucasian housewife who suspects her husband of infidelity