A patient is stuporous but reacts by withdrawing from painful stimuli. What term is most appropriate for this patient?
a. Comatose
b. Lethargic
c. Semicomatose
d. Somnolent
C
A stuporous patient who reacts to pain is semicomatose. The patient with no reaction to pain is comatose.
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A client discusses with the nurse her fears of having sleep apnea. Which of the following statements made by the client is suggestive of sleep apnea?
A) "My legs jump and feel tingly off and on during the night." B) "I wake up and feel as if I have been choking." C) "I have a great deal of difficulty falling asleep every night." D) "I have to sleep on at least three pillows every night."
An elderly client is recovering from a severe burn to 50% of the body. Which of the following aging considerations are important to remember in caring for an elderly client with a burn injury?
a. Normal physiologic changes associated with aging delay recovery and put the older adult at greater risk for complications following a burn injury. b. The stress of a severe burn can leave the body unable to cope with demands for increased oxygen and increased cardiac output. c. The older adult has an increased glomerular filtration rate which protect the client from kidney failure. d. An older client's skin is more fragile due to the loss of subcutaneous tissue. e. Circulation, especially in the lower extremi-ties may already be compromised, so healing will be delayed. f. Skin grafting may not be successful because of impaired circulation and impaired nutrition.
Which of these statements about Kohlberg's six stages of moral development is TRUE?
a. Each state builds upon the previous stage and forms the foundation for the next one. b. Moral development develops before cognitive development. c. Moral development in the years from age 9 to 13 focuses on avoiding punishment. d. By age 50, most persons have achieved their highest level of moral development.
A 55-year-old patient tells the nurse that he seems to be getting "more colds" as he gets older. Which possible explanation would the nurse have for this observation?
1. Aging causes the immune system to have difficulty determining self from non-self cells. 2. With aging, the body has increased difficulty recognizing mutated cells. 3. The thymus gland shrinks with aging, reducing the maturation and differentiation of T cells needed to fight infections. 4. The thyroid gland begins to malfunction after the 4th decade of life.