Which client would normally have a rounded abdomen?
Select all that apply.
1. Infant
2. Toddler
3. School-age child
4. Adolescent
5. Older adult
Correct Answer: 1,2,5
Internal organs of newborns and infants are proportionally larger than those of older children and adults, so their abdomens are rounded, and tend to protrude. Toddlers have a potbelly appearance that can persist until age 3 or 4. The rounded abdomens of elders are due to an increase in adipose tissue and a decrease in muscle tone. School-age children and adolescents do not normally have a rounded abdomen.
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a. the nurse's demeanor should be one of concern and caring. b. professional terminology should be used and taught to the patient. c. all noted injuries should be thoroughly and explicitly documented. d. police personnel or other witnesses should be present during the interview. e. teaching assertiveness and coping skills is a priority to reduce victimization. f. abuse survivors may conceal their injuries to reduce future assaults.
The nurse is reviewing the discharge instructions for administration of home medications with an older adult client. In considering the normal changes experienced with aging, which activity should the nurse incorporate into the teaching plan?
A) Giving written materials to compensate for short-term memory losses B) Considering holding sessions for longer periods than usual so the client can learn C) Using tools that repeat the information until the information is understood D) Providing instruction to relatives so that the client will not need to learn everything
A 62-year-old patient is seen in the emergency department with an epistaxis. When a patient has an epistaxis, the correct nursing interventions would be
a. place the patient in Fowler's position with the head forward. b. place the patient in low-Fowler's position with the head hyperextended. c. compress the nostrils tightly below the bone and hold for 1 minute. d. place hot compresses over the nose.
The nurse is assessing the blood pressure of an obese adult. How will the blood pressure reading be affected if the nurse uses the standard cuff?
a. The blood pressure reading will be falsely low. b. The blood pressure reading will be falsely high. c. The systolic reading will be inaccurate, but the diastolic reading will be accurate. d. Cuff size has little effect on blood pressure reading.