Which is the best examination position for a complete geriatric physical examination on a weak patient with bilateral basilar pneumonia?
a. Prone position
b. Sims' position
c. Supine position
d. Lateral recumbent
C
This is the most normally relaxed position. It will not compromise the patient's breathing because it is likely compromised with pneumonia. If the patient becomes short of breath easily, raise the head of the bed. This position would be easiest for an elderly weak person to get into position for an examination. Lateral recumbent and prone positions cause respiratory difficulty for any patient with respiratory difficulties. Sims' position is used for assessment of the rectum and the vagina.
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In which model of care delivery is the focus on patients' needs rather than on staff needs?
a. primary c. differentiated practice b. patient-centered d. modular
The nurse understands that the type of exercise that is most useful for strengthening larger muscle groups such as abdominals, gluteals, and quadriceps, and for endurance training is:
1. Aerobic 2. Isotonic 3. Resistive 4. Isometric
The nurse is caring for a 78-year-old patient with aortic stenosis. Which assessment data obtained by the nurse would be most important to report to the health care provider?
a. The patient complains of chest pressure when ambulating. b. A loud systolic murmur is heard along the right sternal border. c. A thrill is palpated at the second intercostal space, right sternal border. d. The point of maximum impulse (PMI) is at the left midclavicular line.
Nurses are effective and influential shapers of healthcare policy because of their expertise in: (Select all that apply.)
A) Clinical practice B) Administration C) Education D) Political science E) Research