While conducting a health assessment with an older adult, the nurse notices it takes the person longer to answer questions than is usual with younger patients. What should the nurse do?
A) Stop asking questions so as not to confuse the patient.
B) Slow the pace and allow extra time for answers.
C) Realize that the patient has some dementia.
D) Ask a family member to answer the questions.
B
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After measuring an 80-year-old patient's blood pressure, the nurse realizes that it is within acceptable range. Which is an acceptable blood pressure range for this patient?
A) Usually under 130 mm Hg systolic and 90 mm Hg diastolic B) Usually under 140 mm Hg systolic and 90 mm Hg diastolic C) Usually under 140 mm Hg systolic and 80 mm Hg diastolic D) Usually under 130 mm Hg systolic and 80 mm Hg diastolic
An infant is diagnosed with streptococcal-based impetigo. What should the nurse teach the mother about the infant's care?
A) Help avoid thumb-sucking. B) Change the dressings every day. C) Provide penicillin as prescribed. D) Administer the steroid as prescribed.
Which birthing position would you recommend to hasten delivery, enhance placental blood flow, decrease fetal stress, and reduce the possibility that an episiotomy will be required?
A) Lithotomy B) Modified dorsal recumbent C) Squatting D) Hands and knees
The nurse would expect to see which of the following symptoms in a patient who is an abuser of narcotics?
A. an outward show of happiness B. a complete downward spiral in behavior C. "hyper" behavior D. constipation