What factors make the older adult more susceptible to pressure ulcers? (Select all that apply.)
a. The epidermal layer has thickened
b. Subcutaneous fat has diminished
c. Bruising is prevalent
d. Skin receptor cells have reduced in sensitivity
e. The skin is dry and scaly
ANS: B, D
Lack of subcutaneous fat to pad the bony prominences and reduced sensitivity to touch and pressure put older adults at risk for pressure ulcers.
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Which newborn would the nurse recognize as being most at risk for developing respira-tory distress syndrome?
a. A 35-week-gestation female baby born vaginally 72 hours after the rupture of membranes b. A 36-week-gestation male baby born by cesarean delivery to a mother with insu-lin-dependent diabetes c. A 35-week-gestation male baby born vaginally to a mother addicted to heroin d. A 35-week-gestation female baby born vaginally to a mother who has pregnan-cy-induced hypertension
Regardless of the type of facility involved, it is MOST important for an admitting nurse to introduce him- or herself to the client and family and determine the client's:
a. immediate reaction to the assigned room b. understanding of why admission is necessary c. willingness to follow agency policies d. readiness to wear designated hospital gown
A patient who takes aspirin for rheumatoid arthritis is admitted to the hospital complaining of headache and ringing in the ears. The plasma salicylate level is 300 mcg/mL, and the urine pH is 6.0 . What will the nurse do?
a. Increase the aspirin dose to treat the pa-tient's headache. b. Notify the provider of possible renal tox-icity. c. Prepare to provide respiratory support, because the patient shows signs of over-dose. d. Withhold the aspirin until the patient's symptoms have subsided.
A patient has a waist-to-hip ratio of 0.5. The nurse realizes that this patient is at risk for developing what disorder?
1. gastrointestinal dysfunction 2. hyperinsulinemia 3. heart disease 4. obesity