The nurse is caring for a 90-year-old postoperative patient whose oxygen saturation is frequently dropping below 90%. Which age-related change is most likely related to this finding?
a. Prolonged use of a walker
b. Poor fluid intake
c. Weakened respiratory muscles
d. Increased elasticity of costal cartilages
C
Age-related changes that interfere with respiration in the older adult are weakened respiratory muscles and calcified costal cartilages.
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The nurse is concerned that an intubated patient is experiencing a cuff leak. Which assessment data would support the nurse's concern? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. Increased temperature 2. The patient saying, "My neck hurts" 3. Edema of the upper extremities 4. A hissing sound heard over the trachea on expiration 5. Bubbling secretions at the corner of the patient's mouth
A student nurse asks a nurse educator what the Bassett Healthcare Quality Compass is used for. The nurse educator responds that it is used for:
a. staff evaluation and promotion. c. quality assurance. b. accountability-based care delivery. d. unit-based performance improvement.
Select the most effective action a nurse can take to protect a client who has been recently diagnosed with thrombocytopenia
a. Have the client use a wheelchair whenever the client must leave the room. b. Increase the client's fluid intake to 3 liters per day to prevent a urinary tract infec-tion. c. When giving intramuscular injections, use the smallest needle possible to administer the medication. d. Limit visits to immediate family only for 10 minutes per hour.
When working with pregnant adolescents, the nurse plans on assessing: Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply
1. High-birth-weight infants. 2. Pelvic measurements. 3. For sexually transmitted infections. 4. Low blood pressure readings. 5. Hemoglobin and hematocrit.