Alterations in mobility result primarily from problems with which of the following body systems?
a. Respiratory system
b. Cardiovascular system
c. Musculoskeletal system
d. All of the above
D
The process of aging, combined with the presence of any chronic diseases, places an older adult at risk for immobility and its consequences. Normal aging changes and any disorders affecting the musculoskeletal, cardiovascular, and respiratory systems are major causes of immobility. Changes in vision are also important factors contributing to immobility.
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A female patient, 47 years old, visits the clinic because she has been experiencing stress incontinence when she sneezes or exercises vigorously. What is the best instruction the nurse can give the patient?
A) Keep a record of when the incontinence occurs. B) Perform clean intermittent self-catheterization. C) Perform Kegel exercises four to six times per day. D) Wear a protective undergarment to address this age-related change.
The patient is a 20-year-old college student who has type 1 diabetes and normally walks each evening as part of an exercise regimen. The patient plans to enroll in a swimming class. Which adjustment should be made based on this information?
a. Time the morning insulin injection so that the peak action will occur during swimming class. b. Delete normal walks on swimming class days. c. Delay the meal before the swimming class until the session is over. d. Monitor glucose level before, during, and after swimming to determine the need for alterations in food or insulin.
Which clinical manifestations are indicative of right ventricular failure? (Select all that apply.)
a. Jugular venous distention b. Peripheral edema c. Crackles audible in the lungs d. Weak peripheral pulses
A client who is being mechanically ventilated has copious amounts of secretions ranging from thick and tenacious to frothy. In preparing to suction this client, the nurse should take which action?
1. Hyperventilate the client using the settings on the mechanical ventilator. 2. Hyperventilate the client using a manual resuscitator. 3. Avoid hyperventilation, but instill normal saline into the endotracheal tube. 4. Avoid hyperventilation and increase the oxygen to 100% for several breaths.