A nurse is discussing the importance that an older adult receives the pneumococcal immunization because the nurse understands that older adults are at risk for respiratory infections due to the normal changes listed below,
those labeled with numbers ____________________. (Your answer should appear as numbers separated by commas and spaces [e.g., 1, 2, 3, 4].)
1. Breath sounds are bronchovesicular in the peripheral lung.
2. Alveoli are less elastic.
3. Weak intercostal muscles reduce effective coughing.
4. Fewer cilia make mucociliary clearance less effective.
5. Curvature of the spine limits chest wall expansion.
6. Cough reflex is impaired due to deceased sensitivity of receptors.
ANS:
2, 3, 4, 5
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Parenteral haloperidol has been ordered for a patient who is experiencing an acute psychotic episode. The nurse should recognize what primary goal of treatment?
A) Increased insight into delusional thinking B) Increased sophistication of thinking C) Decreased agitation and combativeness D) Decreased CNS stimulation
The nurse administers what drug to terminate supraventricular tachycardia?
A) Lidocaine (Lidocaine Parenteral) B) Flecainide (Tambocor) C) Adenosine (Adenocard) D) Dronedarone (Multaq)
The nurse caring for a patient with recurrent abdominal pain of unknown origin addresses the patient by name and puts her hand on her shoulder and offers reassuring words:
"You'll be okay. Try not to think about things too much, if you can." How would you evaluate the nurse's verbal and nonverbal communication? a. Words offer hope and consolation b. Nurse's interaction is comforting c. Response builds nurse–patient trust d. Message provides false reassurance
A mistake is made while recording the client's medical record. The nurse should:
A. Scratch out the error and rewrite the notation B. Use correction fluid and write over the error C. Discard the page and replace the notations on a new sheet D. Draw a line through the error, write the correct notation above it, and initial the correction