During an initial health assessment, the patient's family indicates that his speech has deteriorated, becoming slurred and flat at times. The nurse is aware that the likely cause may be:
A) Possible hearing loss
B) Confusion
C) Aphasia
D) Normal process of aging
Ans: A
Feedback: The individual with hearing loss may exhibit symptoms of speech deterioration, such as slurred and flat-sounding speech.
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A client with human immune deficiency virus (HIV) has had a sudden decline in status with a large increase in viral load. What action should the nurse take first?
a. Ask the client about travel to any foreign countries. b. Assess the client for adherence to the drug regimen. c. Determine if the client has any new sexual partners. d. Request information about new living quarters or pets.
An older male adult who is Hispanic states he is not having pain, but he had knee re-placement surgery 2 days ago
Which is the best pain assessment tool as recommended by the Hartford Institute for Geriatric Nursing (HIGN) from "Try This" for the nurse to apply for this man? a. Numeric Rating Scale b. Verbal Descriptor Scale c. Iowa Pain Thermometer d. Faces Pain Scale–revised
An IV of midazolam 5 mg in 100 mL D5W is infusing at 20 mL/hr. What dose is the client receiving? _______________
a. 0.05 mg/min b. 5 mg/hr c. 1 mg/hr d. 0.06 mg/min
Elderly clients are at risk for not getting prescriptions filled largely because:
a. they are not convinced that they need the medication. b. they "feel fine" without taking more medications. c. they fear that after purchasing medications, they may not be able to tolerate them. d. they forget to do so.