Which manifestations should the nurse investigate as indicating possible pneumonia in an older patient? Standard Text: Select all that apply
1. Fever
2. Dyspnea
3. Tachycardia
4. Behavior changes
5. Substernal chest pain
2,3,4,5
Rationale: Fever may be absent in the older patient because many older people have a lower basal temperature and will not exhibit a fever response in the face of infection.
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Which of the following statements best describes how the American Red Cross (ARC) is different from the Federal Emergency Management Agency (FEMA) or the National Incident Management System?
a. Funding includes only voluntary contributions. b. It emphasizes being prepared for emergencies, not just reacting to them. c. It has only volunteers as staff. d. It is a nongovernmental volunteer agency.
Which of the following produces visual, auditory, and sensory behavior changes after ingestion?
a. Hallucinogens b. Opiates c. Stimulants d. Antipsychotics
The nurse is applying an alcohol-based antiseptic rub to the hands after providing client care. What should the nurse do once the antiseptic has been applied?
a. Wash the hands with soap and water. b. Rinse the antiseptic off the skin. c. Allow the rub to dry. d. Wipe the antiseptic off the skin.
A nurse is caring for a patient diagnosed with pericarditis
Due to this patient's risk for cardiac tamponade, the nurse is vigilant about assessing for which findings? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Heart sounds that are more difficult to auscultate 2. A palpable lift at the third intercostal space just left of the midclavicular line 3. Decreased systolic blood pressure 4. Visible distention of jugular veins 5. Patient report of headache