When assessing an older adult, which vital sign changes occur with aging?
a. Increase in pulse rate
b. Widened pulse pressure
c. Increase in body temperature
d. Decrease in diastolic blood pressure
ANS: B
With aging, the nurse keeps in mind that the systolic blood pressure increases, leading to widened pulse pressure. With many older people, both the systolic and diastolic pressures increase. The pulse rate and temperature do not increase.
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a. able to break the distress of illness. b. unable to express what he actually needed when he was ill. c. usually not able to determine what is at stake because of his illness. d. able keep the nurse from prying into his more personal life.
A nurse caring for a client with systemic lupus erythematous (SLE) who is prescribed immunosuppressive therapy. When providing teaching for this client, which topics are appropriate for the nurse to include?
Select all that apply. A) Avoid large crowds and situations that increase exposure to infection. B) Report difficulty breathing or cough to the physician if taking cyclophosphamide. C) Use aspirin instead of acetaminophen if fever develops. D) Heavy menstrual bleeding may occur during therapy. E) Maintain appropriate oral hydration.
Which of the following aspects of gerontological nursing would be most likely classified under private law?
A) The regulation of who may call himself or herself a "nurse" B) The contract between an older adult resident and the owners of the facility C) The legal criteria for declaring an individual mentally incompetent D) The criminal consequences for instances of elder abuse
Which of the following would not be included in a heparin protocol?
A. Orders for IV bolus doses B. Maximum dose C. Initial or starting dose D. Dosage based on BSA