The nurse is preparing to assess a patient with myotonic dystrophy. For what health problem should the nurse assess this patient? Select all that apply.
A. Significant muscle wasting
B. Cataracts
C. Hair loss
D. Long extremities
E. Spinal deformities
Answer: C
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A young nurse charted that a 70-year-old client was "unable to perform ADL's due to old age." What should the nursing supervisor do in response to this attitude?
1. Reassign the nurse to another unit with younger clients 2. Explain how aging does not prevent one from performing ADLs 3. Reprimand the nurse for charting opinions rather than facts 4. Suggest the young nurse encourage the client to be more independent
Abused substances are those chemicals that alter the person's perception by affecting the
1. central nervous system. 2. autonomic nervous system. 3. cardiorespiratory system. 4. peripheral nervous system.
An elderly client has been experiencing urinary hesitancy and this has resulted in the client's bladder become overdistended with urine. What intervention should the nurse attempt before resorting to the insertion of a urinary catheter?
A) Increase the client's intake of low-pH fluids in order to stimulate bladder function. B) Encourage the client to perform some vigorous exercise. C) Run water from the tap in the client's room to stimulate the urge to void. D) Position the client in a side-lying position.
Which setting is most appropriate for fetal vibroacoustic stimulation?
A. 38 weeks, active labor, FHR baseline 140 bpm, minimal variability for 60 min, no accels, no decels B. 40 weeks, active labor, FHR baseline 150 bpm, moderate variability, prolonged decel to 60 bpm lasting 8 min C. 34 weeks, frequent contractions without cervical change, FHR baseline 180 bpm, moderate variability, late decels