A 70-year-old woman tells the nurse that she is still sexually active. How would the nurse respond?
A) "You are too old for that kind of behavior."
B) "Tell me what you enjoy the most."
C) "You can be sexually active as long as you want to be."
D) "There comes a time in life when this is no longer important."
C
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Which clients are at the highest risk of being admitted to the emergency department with severe nausea and vomiting?
Select all that apply. A) A 47-year-old with a 3-hour history of chest pressure B) A 61-year-old reporting sudden onset of vertigo C) A 72-year-old with an asthma exacerbation D) A 23-year-old who sustained a head injury in a fall E) A 19-year-old who is 6 weeks pregnant
The nurse is preparing to assess a client's abdomen. Which of the following sequences will the nurse use to assess this body area?
1. Percussion, Palpation, Auscultation, Inspection 2. Auscultation, Inspection, Palpation, Percussion 3. Inspection, Palpation, Percussion, Auscultation 4. Inspection, Auscultation, Percussion, Palpation
In analyzing the ECG strip, the nurse notices a spike before each QRS complex. The patient's heart rate is 70 beats/min. This phenomenon is reflective of
a. 60-cycle electrical interference; check equipment. b. pacing artifact; the pacemaker is sensing and capturing. c. electrical artifact; the pacemaker is not sensing. d. patient movement; check electrodes.
The nurse demonstrates understanding of continuity of care (COC) when doing which of the following?
a. Providing care in an untimely manner b. Utilizing management plans that are inconsistent c. Encouraging a longitudinal construct in health care d. Demonstrating inflexibility when managing the client's care