A nurse assesses an older adult in the assisted living facility who has presbyphagia. Which of the following systems should the nurse auscultate?
A) Abdomen for bruit
B) Bowel sounds
C) Heart tones
D) Lung sounds
Ans: D
Swallowing difficulties create a risk of aspiration. Presbyphagia is unlikely to result in assessment changes to the abdomen or heart.
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Which nursing intervention demonstrates false imprisonment?
a. A confused and combative patient says, "I'm getting out of here and no one can stop me." The nurse restrains this patient without a health care provider's order and then promptly obtains an order. b. A patient has been irritating and attention seeking much of the day. Now a nurse escorts the patient down the hall saying, "Stay in your room or you'll be put in seclusion." c. An involuntarily hospitalized patient with suicidal ideation runs out of the psychiatric unit. The nurse rushes after the patient and convinces the patient to return to the unit. d. An involuntarily hospitalized patient with homicidal ideation attempts to leave the facility. A nurse calls the security team and uses established protocols to prevent the patient from leaving.
A nurse conducting a comprehensive nutritional assessment is assisting the patient in completing a 24-hour food recall. Research has shown that in this method of assessment, the patient often
A) Underestimates high intakes B) Overestimates high intakes C) Underestimates liquid intake D) Overestimates low intakes
The nurse in charge of the In-Service Education Department reads a review of suctioning techniques and leads a committee to change the hospital's suctioning policy. This is an example of which kind of utilization?
A) Partial research B) Indirect research C) Direct research D) Persuasive
In the scenario described in the preceding question, what would the b coefficient for very low birthweight represent?
a. The effect of very low birthweight compared to low birthweight b. The effect of very low birthweight compared to normal birthweight c. The effect of very low birthweight compared to the other two categories, averaged d. The effect of very low birthweight compared to the average of all categories