Which scenario indicates to the nurse that an older adult is at risk for falls?
a. A 68-year-old retiree who moves in with family members to babysit their 3-year-old
b. A 75-year-old who lives alone and uses a cane at night and when going outside
c. An 80-year-old who marries and moves into the spouse's home after selling his home
d. A 92-year-old who moves to a retirement community after hip replacement surgery
D
Recent surgery, a move to unfamiliar surroundings, and increased age are all risk factors that would cause this patient to be at greatest risk for falling.
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A nurse performs tracheal suctioning in order to remove the liquid secretions of a client at a health care facility. What should the nurse do to ease the insertion of the tube below the client's larynx?
A) Advance the catheter 5 to 6 in. in the throat. B) Occlude the air vent and rotate the catheter. C) Advance the catheter 3 to 4 in. in the mouth. D) Wait until the client takes a breath before advancing the tubing.
A patient on the medical unit has a documented history of polycystic kidney disease (PKD). What principle should guide the nurse's care of this patient?
A) The disease is self-limiting and cysts usually resolve spontaneously in the fifth or sixth decade of life. B) The patient's disease is incurable and the nurse's interventions will be supportive. C) The patient will eventually require surgical removal of his or her renal cysts. D) The patient is likely to respond favorably to lithotripsy treatment of the cysts.
A nurse is documenting the laboratory reports and blood studies of a client with a
diagnosis of chronic myeloid leukemia. What tumor marker would be increased in this client? A) Neuron-specific enolase B) Beta2-microglobulin C) Philadelphia chromosome D) Carcinoembryonic antigen
When describing the importance of the World Health Report to a group of students, the instructor would emphasize which of the following?
A) It challenged the world community to focus more attention on unhealthy behaviors that lead ultimately to chronic disease, disability, and early mortality. B) Lifestyle choices are not one of the key contributors to morbidity and mortality levels in either affluent or poor countries. C) Infectious disease is the major threat. D) Malnutrition is the only threat.