The nurse anticipates that a patient with multiple fractured ribs is at risk for which condition?
1. Decreased lung expansion
2. Increased respiratory rate
3. Prolonged expiratory phase
4. Low arterial carbon dioxide level
1
Rationale 1: Due to the rib fractures, it might be difficult for the patient to have full rib cage expansion because of the pain.
Rationale 2: The respiratory rate might tend to be slower and more shallow than usual.
Rationale 3: The expiratory phase might be shortened due to the pain.
Rationale 4: The carbon dioxide would be high rather than low.
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An older patient in a long-term care facility does not sleep much at night and prefers to stay up late reading. The patient takes "power naps" during the day. How should the nurse respond to this patient's plan to acquire adequate sleep?
1. Naps are sufficient to restore the missed sleep time. 2. Older people do not need as much sleep as younger adults. 3. Napping may simply contribute to the problem getting to sleep at night. 4. There is no problem as long as the total number of hours slept per 24-hour period is at least 8.
Which response should the nurse make when a patient receiving intravenous potassium complains of burning at the infusion site?
A) "Let me check the IV site and make sure there are no complications." B) "Don't worry, the burning goes away with time." C) "It's normal for the insertion site to be red and warm." D) "I'll check back with you in 2 hours and see if it still burns."
Order: loxapine (Loxitane) 75 mg, IM, daily Available: How many milliliters (mL) should the client receive?
What will be an ideal response?
The nurse is reviewing with a group of older adults at the senior citizen center the normal changes in the hematologic and lymphatic systems caused by aging
Which information is important for the nurse to include in the education program about the effects of aging on the hematologic and lymphatic systems? 1 . Hematopoiesis may decline because of loss of active bone marrow 2 . Number of platelets may slightly increase because fibrogen levels and coagulation factors increase 3 . White blood cells production typically decreases with an increased incidence of infection 4 . Blood volume is reduced owing to decreased muscle mass and metabolic rate A) 1, 2 B) 1, 4 C) 2, 3 D) 3, 4