The nurse is completing an endocrine-focused health assessment interview with an older adult. What finding should the nurse suspect is related to an age-related change in the patient's thyroid function?
1. inability to tolerate heat and cold
2. indigestion and intolerance of fatty foods
3. increased facial hair
4. enlarged nose, hands, and feet
Correct Answer: 1
A lowered basal metabolic rate due to decreased thyroid activity in the aging patient may cause intolerance to heat and cold. Decreased production of the pancreatic enzyme lipase results in indigestion and intolerance of fatty foods. Increased facial hair and enlargement of the nose, hands, and feet occur due to decreased pituitary function.
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A nurse asks the mother of a 4-month-old to undress the infant. The nurse observes the mother taking off several layers of clothing, knowing that the outdoor temperature is 70°F. Which of these statements should the nurse make to the mother?
1. "My, you are dressing your infant warmly today." 2. "Did you think it was it cold when you left your home this morning?" 3. "I see that you have many layers of clothing on your baby. This could cause your baby's temperature to rise." 4. "When you leave the office, only put one layer of clothing on your baby."
The nurse has adequately managed a patient's airway, breathing, and circulation. What is the next nursing action?
1. Assess level of consciousness. 2. Administer prophylactic tetanus toxoid as prescribed. 3. Auscultate heart sounds. 4. Assess the chest for paradoxical movements.
Which early nursing theorist recognized therapeutic milieu, assessment skills, and a unique body of knowledge in her definition of nursing?
a. Dorothea Orem b. Virginia Henderson c. Hildegard Peplau d. Florence Nightingale
A client has just been admitted for labor and delivery. She is having mild contractions lasting 30 seconds every 15 minutes. The client wants to have a medication-free birth
When discussing medication alternatives, the nurse should be sure the client understands which of the following? 1. In order to respect her wishes, no medication will be given. 2. Pain relief will allow a more enjoyable birth experience. 3. The use of medications allows the client to rest and be less fatigued. 4. Maternal pain and stress can have a more adverse effect on the fetus than would a small amount of analgesia.