After collecting data the nurse suspects a patient has hearing loss. Which finding supports this conclusion?
a. Converses easily with the nurse
b. Answers questions appropriately
c. Speaks in an unusually loud voice
d. Relaxes facial features during conversation
ANS: C
Speaking in an unusually quiet or loud voice can indicate hearing loss. A. B. D. These findings indicate normal hearing.
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A heart murmur is
a. A common normal finding b. Caused by thickening and rigid heart valves, decreasing strength of contractions c. The cause of chronic atrial fibrillation d. Of no concern in an older adult
Your client shares with you that, as soon as he is discharged from the facility, he plans to strangle his ex-wife. Upon further questioning you believe that he is serious about his inten-tions. The most appropriate action for you to take is to
1. talk him out of it. 2. remind him that murder is a crime. 3. notify his ex-wife and the police. 4. contact the client's physician and your supervisor.
Which instruction is most important for the RN to provide to the nursing assistant assigned to care for a client with primary osteoporosis?
a. "Clean up clutter in the room." b. "Encourage the client to bathe herself or himself." c. "Monitor urinary output." d. "Perform passive range-of-motion exer-cises."
How many teeth would you expect to find in the mouth of a 25-year-old patient who states he has never lost a tooth?
A) 20 B) 28 C) 30 D) 32