When examining an infant, the nurse should examine which area first?
a. Ear
b. Nose
c. Throat
d. Abdomen
ANS: D
The least-distressing steps are performed first, saving the invasive steps of the examination of the eye, ear, nose, and throat until last.
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The nurse is caring for a patient admitted with angina who is scheduled for cardiac catheterization. The patient is anxious and asks the reason for this test. What is the best response?
A) "Cardiac catheterization is usually done to assess how blocked or open a patients coronary arteries are." B) "Cardiac catheterization is most commonly done to detect how efficiently a patient's heart muscle contracts." C) "Cardiac catheterization is usually done to evaluate cardiovascular response to stress." D) "Cardiac catheterization is most commonly done to evaluate cardiac electrical activity."
The children of an elderly resident at a nursing home are concerned that their parent is alone and lonely. A staff nurse can assure the family that the elderly should be allowed periods of solitude because such times:
A) Are essential for reflecting, analyzing, and better understanding the dynamics of life B) Decrease loneliness, insecurity, and self-imposed isolation C) Help the elderly face the misfortunes of growing old D) Affect displays of anxiety, depression, and anorexia
Why do older persons adapt more slowly to changes in the peripheral vascular system? (Select all that apply.)
a. Slowing heart rate b. Decreasing cardiac output c. Increasing stroke volume d. Stiffening of blood vessels e. Thickening of aorta
The nurse recognizes a generalized tonic-clonic seizure by the client exhibiting what characteristics?
a. rigidity with muscle jerks, temporal apnea, possible loss of bowel and bladder control. b. staring, fluttering eyes, no loss of consciousness. c. blank stare followed by random activity; automatism may be present. d. jerking of one arm, leg, or the face, with altered sense of taste and smell.