The 82-year-old client has a pulmonary infection. Which nursing action addresses the age-related change of increased vascular resistance to blood flow through pulmonary vascu-lature in this client?
A. Encouraging the client to turn, cough, and deep breathe every hour.
B. Assessing the client's level of consciousness.
C. Raising the head of the bed.
D. Humidifying the oxygen.
B
Increased vascular resistance to blood flow through the pulmonary system occurs with aging. When aging lungs experience an acute respiratory problem that further decreases oxygenation of the blood, the client can become confused.
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A priority teaching point when the nurse teaches a pregnant woman about fetal lung development is:
A) by 20 weeks' gestation, the fetal lungs contain the same number of alveoli as an adult. B) survival chances are low before 24 weeks because of inadequate surfactant production. C) fetal lungs are filled with amniotic fluid so that the lungs will inflate after birth. D) gas exchange in the lungs begins at about 35 weeks' gestation.
A 76-year-old woman presents at the clinic, reporting otalgia in her right ear. Physical assessment reveals cerumen impacted in the patient's ear. Removing this mechanical blockage may do what for this patient? (Select all that apply.)
A) Increase the size of ear canal B) Provide less rigidity in outer ear C) Improve hearing D) Enhance socialization E) Prevent injury
After receiving shift report, which of the following clients should the nurse assess first?
A. Kussmaul respirations B. Blood glucose of 144 C. Pain level 6 out of 10 D. Temperature is 101.8°F
The nurse is invited to a childcare center for a safety class. An employee comes running into the class and says to the nurse, "I think one of the children swallowed a poisonous chemical from our storage area
" What is the first action by the nurse? a. Identify the poison then call 911 or the local emergency number. b. Assess for signs and symptoms then call 911 or the local emergency number. c. Call 911 immediately, even if the child has no symptoms. d. Induce vomiting on the child then call 911.