The nurse is reviewing recommended health practices with her older patient. What would be included in the teaching? (Select all that apply.)
a. Compliance with dietary restrictions
b. Performance of regular exercise daily
c. Cessation of smoking
d. Arrangement for regular medical examinations
e. Annual psychological testing
ANS: A, B, C, D
Psychological testing is not part of the recommended health practices. All of the other options listed are recommended health-seeking behaviors.
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You observe that your patient's eyes move smoothly and symmetrically in each of the six fields of gaze and converge on the held object as it moves toward the nose. There are a few beats of nystagmus on extreme lateral gaze
This observation indicates which of the following? a. early stage of paralysis of horizontal gaze b. lesion in the brainstem or cerebellum c. normal findings d. weakness of the lateral rectus muscle
A nurse is conducting morning assessments of several medical patients and has entered the room of a patient who has a nasogastric (NG) tube in situ
Immediately, the nurse observes that the tube has become unsecured from the patient's nose and the mark at the desired point of entry is now approximately 8 inches from the patient's nose. How should the nurse best respond to this assessment finding? A) Reinsert the NG tube and arrange for x-ray confirmation of placement. B) Remove the NG tube and obtain an order for reinsertion. C) Reinsert the NG tube and monitor the patient closely for signs of aspiration. D) Reinsert the NG tube and aspirate stomach contents to confirm correct placement.
The nurse is deciding on a dosage schedule for methylphenidate (Ritalin). The nurse recognizes that which time is the most appropriate to administer this drug for maximum effectiveness?
a. Before breakfast or lunch b. With meals c. After dinner d. At bedtime
Which nursing assessment will indicate the patient is performing diaphragmatic breathing correctly?
a. Hands placed on the border of the rib cage with fingers extended will touch as the chest wall contracts. b. Hands placed on the chest wall with fingers extended will separate as the chest wall contracts. c. The patient will feel upward movement of the diaphragm during inspiration. d. The patient will feel downward movement of the diaphragm during expiration.