Upon initial assessment of a spinal cord injured patient, the nurse will observe which of the following below the level of injury?
A) rigidity of the extremities
B) deep tendon reflexes
C) flaccid paralysis
D) inward rotation of the extremities
C
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The nurse working with older adults knows which facts about age-related musculoskeletal changes? (Select all that apply.)
a. Muscle mass decreases, causing atrophy. b. Myocytes are replaced by fibrous tissue. c. Vertebral spaces enlarge with fluid reten-tion. d. Posture and gait change, leading to fall risk. e. Men become bowlegged and waddle.
A nurse is caring for an elderly client who is a substance abuser. What information should the nurse provide the client's family when educating them on substance abuse in their loved one?
A) Older clients often admit being a substance abuser. B) Alcoholism can be easily detected in the client. C) Client may have a low self-esteem and be a loner. D) Substance abuse by the client cannot be controlled or cured.
A 49-year-old male presents reporting chest pain. EKG reveals ST elevation. He is diagnosed with myocardial ischemia. Which of the following interventions would be most beneficial?
a. Administer a diuretic to decrease volume. b. Apply oxygen to increase myocardial ox-ygen supply. c. Encourage exercise to increase heart rate. d. Give an antibiotic to decrease infection.
The work-of-breathing component of the pediatric assessment triangle includes all of the following, EXCEPT:
A) listening for grunting or audible wheezing. B) noting the child's position during breathing. C) auscultating the lungs for adventitious sounds. D) looking for substernal or intercostal retractions.