The nurse provides care to older adults. Which of the following would the nurse recognize as being more likely to occur in an older adult than in a younger adult?
a. High fevers
b. More autoimmune disorders
c. Fewer infections
d. Greater antibody production
ANS: B
The efficiency of the immune system decreases with age, so older people are more susceptible to infections and autoimmune disorders.
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A client had a vaginoplasty under epidural anesthetic. Which action by the nurse is most important?
a. Ensure that the urinary catheter is securely attached to the leg. b. Instruct the client not to try to get out of bed unassisted. c. Monitor the client's dressings and wound drainage. d. Position the Jackson-Pratt drain to the contralateral side.
The nurse is caring for a patient with cryptorchidism who is 28 years old and taking testosterone to treat his condition. What statement by this patient would lead the nurse to believe that he has understood the teaching provided about the drug?
A) "My body hair may increase." B) "My sexual desire may increase." C) "My voice may become higher." D) "My skin may become clear and soft."
A nurse is assigned to work with a single Asian American college student
The nurse tells a colleague that the client has very poor eye contact, and that no matter what strategies he uses to try to get her to meet his gaze, she will not look directly at him. Which of the following explanations would be possible reasons for the client's behavior? In some Asian cultures (more than one answer may be correct) A. a strong cultural injunction exists against using assertive communication measures. B. looking directly at a person of the opposite sex indicates sexual interest. C. looking down signifies deference to authority. D. trancelike syndromes are common.
When the nurse is administering Lasix 20 mg to a patient in congestive heart failure, what phase of the nursing process does this represent?
A) Assessment B) Planning C) Implementation D) Evaluation