The nurse is caring for an elderly client. The nurse would expect which of the following in the musculoskeletal system of an older adult?
1. Difficulty with dexterity
2. Increased bone production
3. Risk for fractures
4. Pain when ambulating
3
Rationale 1: Difficulty with dexterity is a direct change associated with aging. Older clients may have chronic conditions that may indirectly cause changes in this skill.
Rationale 2: The rate of bone production does not increase with aging.
Rationale 3: Elderly clients are at risk for fracture as a result of decreased calcium absorption and loss of bone density.
Rationale 4: Pain with ambulation is not a direct result of aging. Some chronic conditions seen with greater frequency in the older adult may be associated with painful ambulation.
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A 70-year-old woman with ongoing severe atrial fibrillation is scheduled for defibrillation. What is an aspect of the rationale and physiology of defibrillation treatment?
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A patient is being mechanically ventilated in the synchronized intermittent mandatory ventilation mode at a rate of 4 breaths/min. His spontaneous respirations are 12 breaths/min
He receives a dose of morphine sulfate, and his respirations decrease to 4 breaths/min. Which acid-base disturbance will likely occur? a. Metabolic acidosis b. Metabolic alkalosis c. Respiratory acidosis d. Respiratory alkalosis
The nurse is teaching the parents of a child with multiple environmental allergies on ways to control allergens in the home. What should the nurse include in these instructions? (Select all that apply.)
A) Remove all carpeting. B) Install a dehumidifier in the home. C) Consider having fish as pets instead of a dog or cat. D) Remove stuffed toys unless filled with synthetic material. E) Replace furniture with upholstered chairs and sofas for sitting.
Cushing's syndrome is characterized by
A. low blood sugar. B. irritability and nervousness. C. hyperglycemia and edema. D. rapid pulse and weight loss.