An axillary temperature reading of 99¡ F is considered:
1. a normal reading.
2. slightly low.
3. slightly high.
4. incorrect because the client's age is unknown.
ANS: 1
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The charge nurse at a nursing home impresses on a visiting class of nursing assistants the importance of hand washing, because older adults have a depressed immune response. One contributor to this depressed immune response in older adults is:
A) Decreased serum activity of the thymic hormones B) Inactivation of varicella-zoster infections C) Decreased serum concentrations of IgA and IgG D) High pain sensitivity associated with inflammation
The nurse is caring for an elderly patient who was admitted with renal insufficiency. The nurse realizes that with advance age often comes declining renal function. An expected laboratory finding for this patient may be:
a. an increased glomerular filtration rate (GFR). b. a normal serum creatinine level. c. increased ability to excrete drugs. d. hypokalemia.
The nurse is performing an assessment on a patient whose right atrial pressure is 12 mmHg. Which findings would the nurse anticipate?
1. Jugular vein distention 2. Weak, thready pulse 3. Presence of rales and rhonchi 4. Poor skin turgor 5. Hepatomegaly
Which behavior would indicate to the nurse that an adolescent has entered the third stage of substance abuse? The adolescent:
a. is abusing alcohol on the weekends. b. has been caught smoking hash in the school bathroom. c. admits to being curious about the alcohol in the family liquor cabinet. d. has begun selling drugs at school to support a serious drug addiction.