What are communication barriers that are encountered when conversing with an older adult? (Select all that apply.)

a. Hearing impairment
b. Language differences
c. Dementia
d. Pain
e. Decreased mobility


ANS: A, B, C, D
Decreased mobility does not affect a person's ability to communicate. All other options are communication barriers.

Nursing

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The nurse instructs the client with chronic obstructive pulmonary disease (COPD) to practice pursed-lip breathing and explains that this breathing technique is done:

1. to break up mucus that has accumulated in the airway. 2. to use the abdominal muscles to breathe, giving the diaphragm a rest. 3. to prolong exhalation to help remove carbon dioxide from the lungs. 4. to prolong inhalation to help bring more oxygen to the lungs.

Nursing

The nurse is assessing the client's respiratory pattern and notes periods of deep breathing alternating with periods of apnea. Which of the following terms would the nurse use to document this finding?

1. Tachypnea 2. Obstructive breathing 3. Hypoventilation 4. Cheyne-Stokes

Nursing

A patient who is receiving cancer chemotherapy has been ordered to receive epoetin alfa (Procrit) 150 units/kg 3 times weekly. The nurse reviews the patient's chart and notes a hemoglobin level of 10.1 g/dL

The nurse will perform which action? a. Administer the medication as ordered. b. Hold the dose and notify the provider. c. Reduce the dose by 25%. d. Request an order for an increased dose.

Nursing

A client is admitted to the emergency department after being lost for four days while hiking in a national forest. Upon review of the laboratory results, the nurse determines the client's serum level for thyroid-stimulating hormone (TSH) is elevated. Which additional assessment should the nurse make?

A. exposure to cold environmental temperature B. body mass index C. skin elasticity and turgor D. though processes and speech

Nursing