For an older frail adult client, chest percussion, vibration, and shaking are:
A. Performed more frequently
B. Not performed for safety reasons
C. Performed only by the respiratory therapist
D. Performed with a mechanical, low-speed vibrator
D
D. In frail older adults use a mechanical vibrator on low speed instead of manual percussion and vibration and shaking.
A and B. Percussion and vibration and shaking usually have to be done more gently in older adults.
C. Percussion, vibration, and shaking can be done by a nurse, a therapist, or a family member once taught the proper methods.
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An older adult is having difficulty sleeping and asks a nurse, "My neighbor told me that I should take melatonin to help me sleep. What do you think about this?" The nurse responds to the indi-vidual's question using the knowledge that:
(Select all that apply.) a. in the natural state melatonin is produced by the pineal gland and regulates the sleep-wake cycle. b. melatonin is available in both immediate and extended release forms; however, on-ly the immediate form is effective. c. there are no significant adverse effects to melatonin. d. it must be used with caution in a patient that is taking other medications that have central nervous system depressant effects. e. evidence shows that it is effective at de-creasing sleep onset latency, improving quality of sleep, and improving morning wakefulness.
Which of the following statements describes the purpose of the nursing process?
a. Process of documentation designed to decrease liability b. Process designed to maximize reimbursement potential c. A sophisticated time-management strategy d. Process used to identify and solve patient problems
A rural community health nurse is acting in the role of a mentor. Which of the following activities would the nurse most likely be doing?
A) Providing childbirth classes B) Contacting a specialist for a client C) Collecting immunization data for program development D) Orienting a new rural health nurse to the community
A patient who is experiencing diarrhea associated with a microorganism asks why antidiarrheal medication is not to be used. What should the nurse respond to this patient?
A. "Antibiotics are always used to treat the microorganisms but antibiotics may worsen diarrhea." B. "The potassium you are taking will help to slow down the diarrhea." C. "Antidiarrheal medication slows down the elimination of the microorganism causing the diarrhea." D. "Your physician does not like to use antidiarrheal medications."