After performing a physical assessment of an older adult client, a nurse notes that the client has a hypoactive response to a test of deep tendon reflexes. What action should the nurse take in caring for this client?
A. Assist the client with ambulation.
B. Elevate the client's lower extremities.
C. Place elastic support hose on the client.
D. Massage the legs every 8 hours while the client is awake.
A
The older adult experiences certain neurologic changes associated with aging. Hypoactive deep tendon reflexes and loss of vibration sense can impair balance and coordination, predisposing the client to falls. The nurse or assistive personnel should assist this client with ambulation to prevent injury.
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The nurse is reviewing with a group of student nurses the three parts of the communication process. Which is the best explanation of what are the three parts of the communication process by a student nurse?
A) Verbalizing, receiving, and interpreting of information B) Rapport, verbal and nonverbal communication of information C) Giving, verbalizing, and interpreting of information D) Giving, receiving, and interpreting of information
Which of the following is not included in the Present Illness History?
a. Timing b. Location c. Allergies d. Associated symptoms