What marks the onset of puberty in girls?
a. Deepening of the voice
b. Increase in breast size
c. A growth spurt
d. Menarche
D
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The nurse is concerned that an older patient has a problem related to regular alcohol consumption. What did the nurse assess in this patient? Standard Text: Select all that apply
1. Anxiety 2. Malnutrition 3. Social isolation 4. Bruises from falling 5. Dependence on family members
The daughter of an older adult calls the emergency department (ED) triage nurse and reports that her father hit his head "very hard" while getting into the car about 10 minutes ago. There is no bleeding. The daughter asks what she should watch for in her father. How should the nurse respond?
1. "As long as he does not develop a severe headache he is probably okay. Be sure to bring him to the ED if that happens." 2. "As long as your father does not begin vomiting he is probably not severely injured. If he does begin to vomit, bring him in immediately." 3. "Watch him for the next hour or two. If he seems okay after that he is not likely to have a severe injury. Bring him in to the ED if you are concerned." 4. "In older adults the changes are very subtle and can develop over several hours or even days. Bring him to the ED if you have any concerns."
A nurse provides education for a patient who has just started taking buspirone (BuSpar). The patient asks the nurse, "When should I expect to see an effect from the medication?"
The nurse's best response would be based on the understanding that the effects of buspirone begin in most patients during which time frame? a. 3 days b. 24 to 48 hours c. 1 day d. 4 to 6 weeks
To prevent pressure ulcers, the nursing assistant must
A) wash the patient thoroughly with soap, if tolerated. B) use moisture barriers on the skin to prevent contact with wound discharge. C) rinse the patient with clear water. D) all of the above