Health Data Final - Jarvis (1 & 2)

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A nurse is taking complete health histories on all of the patients attending a wellness workshop. On the history form, one of the written questions asks, "You don't smoke, drink, or take drugs, do you?" This question is an example of: Using blunt language to deal with distasteful topics Talking too much Using biased or leading questions Using controntation

C

A 42-year-old patient of Asian descent is being seen at the clinic for an initial examination. The nurse knows that including cultural information in his health assessment is important to: provide culturally sensitive and appropriate care identify the cause of his illness providé cultural health rights for the individual make accurate disease diagnoses

A

A 30 yr old female is describing feelings of hopelessness and depression. She has history of self mutilation and suicide attempts. She describes difficulty sleeping at night and a 10 lb weight loss in the last month. Which of the following questions or statements is the nurses best response in this situation? O "Are you feeling so hopeless that you feel like hurting yourself?" O "People often feel hopeless, but feelings resolve within a few weeks. O "How do other people treat you?" O "Do you have a weapon?"

A

A 75-year-old woman is at the office for a preoperative interview. The nurse is aware that the interview may take longer than interviews with younger persons. What is the reason for this? O An aged person has a longer story tell O An aged person is usually lonely and like have someone with whom to talk O As a person ages, he or she is unable to hear; thus the interviewer usually needs to repeat much of what is said O Aged persons lose much of their mental abilities and reguire longer time to complete an interview

A

A 90-year-old patient tells the nurse that he cannot remember the names of the medications he is taking or for what reason he is taking them. An appropriate response from the nurse during the medication reconciliation process would be: "Would you have a family member bring in your medications?" "Can you tell me what they look like?" "How long have you been taking each of the pills?" "Don't worry about it. You are only taking twa medications

A

A man has been admitted to the observation unit for observation after being treated for a large cut on his forehead. As the nurse works through the interview, one of the standard questions has to do with alcohol, tobacco, and drug use. When nurse asks him about tobacco use, he states, "I quit smoking after my wife died 7 years ago." However, the nurse notices an open pack of cigarettes in his shirt pocket. Using confrontation, the nurse could say: "Mr. K., you have said that you don't smoke, but I see that you have an open pack of cigarettes in your pocket." "Mr. K., I know that you are lying Mr. K., come on, tell me how much you smoke. Mr. K., I didn't realize your wife had died. It must be diffticult for you at this time. Please tell me more about that.

A

A patient drifts off to sleep when she is not being stimulated. The nurse can easily arouse her by calling her name, but the patient remains drowsy during the conversation. The best description of this patient's level of consciousness O lethargic O obtunded O stuporous O semi-alert

A

A pregnant woman states, "I just know labor will be so painful that I won't be able to stand it. I know it sounds awful, but I really dread going into labor." The nurse responds by stating, "Oh, don't worry about labor so much. I have been through it, and although it is painful, many good medications are available to decrease the pain." Which statement is true regarding this response? The nurse's reply was a: O Nontherapeutic response. By providing false reassurance, the nurse actually cut off further discussion of the woman's fears. O Therapeutic response. By sharing something personal, the nurse gives hope to this woman. O Nontherapeutic response. The nurse is essentially giving the message to the woman that labor cannot be tolerated without medication. O Therapeutic response. By providing information about the medications available, the nurse is giving information to the woman.

A

A woman brings her husband to the clinic for an examination. She is particularly worried because after a recent fall, he seems to have lost a great deal of his memory of recent events. Which statement reflects the nurse's best course of action? O Perform a complete mental status examination O Reassure his wife that memory loss after a physical shock normal and will soon subside. O Plan to integrate the mental status examination into the history and physical examination. O Refer him to a psychometrician.

A

A woman who has lived in the United States for a year after moving from Europe has learned to speak English and is almost finished with her college studies. She now dresses like her peers and says that her family in Europe would hardly recognize her. This nurse recognizes that this situation illustrates which concept? assimilation acculturation heritage consistency biculturalism

A

Android obesity is defined as excess body fat that is placed predominantly within the abdomen and upper body. True False

A

During an assessment of a patient's family history, the nurse constructs a genogram. Which statement best describes a genogram? Graphic family tree that uses symbols to depict the gender, relationship, and age of immediate family members List of diseases present in a person's near relatives Description of the health of a person's children and grandchildren Drawing that depicts the patient's family members up to five generations back

A

During an assessment, the nurse uses the CAGE test. The patient answers "yes" to two of the questions. What could this be indicating? O The nurse should suspect alcohol abuse and continue with more thorough substance abuse assessment. O The patient is an alcoholic. O The patient should be thoroughly examined for possible alcohol withdrawal symptoms. O The patient is annoyed at the questions.

A

During an examination, the nurse can assess mental status by which activity? O Observing the patlent's behavior and infering health dysfunction O Examining the patient's electroencephalogram O Observing the patient as he or she performs an intelligence quotlent (IQ) test O Examining the patlent's response to a specific set of questions

A

During the examination, offering some brief teaching about the patient's body or the examiner's findings is often appropriate. Which one of these statements by the nurse is most appropriate? "Your pulse is 80 beats per minute, which is within the normal range. "I'm using my stethoscope to listen for any orackles, wheezes, or rubs. "Your atrial dysrhythmias.are under control "You have pitting edema and mild varicosities.

A

Heavy or at-risk drinking for men is defined as: O > 14 drinks per week. O >7 drinks per week O <5 drinks per occasion O >3 drinks per occassion

A

The nurse is planning to assess new memory with a patient. The best way for the nurse to do this would be to: Give him the Four Unrelated Words Test Ask him to describe what television show he was watching before coming to the clinic Administer the FACT test Ask him to describe his first job

A

The nurse is reviewing information about evidence-based practice (EBP). Which statement best reflects EBP? EBP emphasizes the use of best evidence with the clinician's experience EBP relies on tradition for support of best practices EBP is simply the use of best practice techniques for the reatment of patients The patient's own preferences are not important with EBP

A

The nurse is taking temperatures in a clinic with a tympanic membrane thermometer (TMT). Which statement is true regarding use of the TMT? O The risk of cross-contamination is reduced, compared with the rectal route O A tympanic temperature is more time consuming than a rectal temperature. O The tympanic method is more invasive and uncomfortable than the oral method O The tympanic membrane most accurately reflects the temperature In the ophthalmic artery.

A

The nurse is teaching a class on basic assessment skills. Which of these statements is true regarding the stethoscope and its use? O Although the stethoscope does not magnify sound, It does block out extraneous room noise. O Slope of the earpieces should polnt posteriorly (toward the occiput). O Fit and quality of the stethoscope are not as important as its ability to magnify sound. O Ideal tubing length should be 22 inches to dampen the distortion of sound.

A

The nurse is unable to palpate the right radial pulse on a patient. The best action would be to: Use a Doppler device to check for pulsations over the area. Auscultate over the area with a fetoscope Use a goniometer to measure the pulsations: Check for the presence of pulsations withla stevioscobe

A

The nurse will use which technique of assessment to determine the presence of crepitus, rigidity, and pulsations? O palpation O percussion O auscultation O inspection

A

The patient's record, laboratory studies, objective data, and subjective data combine to form the: database Discharge summary Financial satement admitting data

A

When assessing an older adult, which vital sign changes occur with aging? O Widened pulse pressure O Increase in body temperature O Increase in pulse rate O Decrease in systolic blood pressure

A

When measuring a patient's weight, the nurse is aware of which of these guidelines? Attempts should be made to weigh the patient at approximately the same time of day, if a sequence of weights is necessary. The patient may leave on his or her jacket and shoes as long as these are documented next to the weight. The type of scale does not matter as long as the weighis are similar from day to day The patient is always weighed wearing only his or her undergarments.

A

Which of these conditions is due to an inadequate intake of both protein and calories? O Marasmus O Bulimia O Kwashiorkor O Obesity

A

Which of the following are laboratory studies used in assessing nutritional status? (select all that apply) Glucose Serum Albumin Transferrin Hematocrit Cholesterol

A, B, C, D, E

During assessment of a patient's pain, the nurse is aware that certain nonverbal behaviors are associated with chronic pain. Which of these behaviors are associated with chronic pain? (select all that apply) Sleeping Restlessness Sighing Rubbing Diaphoesis

A, C, D

The nurse is reviewing data collected after an assessment. Of the data listed below, which would be considered related cues that would be clustered together during data analysis? (select all that apply) O nonproductive cough O hypoactive bowel sounds O inspiratory wheezes noted in left lower lobe O respiratory rate is 16 breaths per minute O edema noted on left hand O patient reports dyspnea on exertion

A, C, D, E

Nociceptors are receptors within peripheral arteries that determine the amount of peripheral vascular resistance. True False

B

Questions regarding financial exploitation are not typical of elder abuse screening tools. O True O False

B

Receiving is a part of the communication process. Which receiver is most likely to misinterpret a message sent by a health care professional? Recovering alcoholic who came in for a basic physical examination Man whose wife has just been diagnosed with lung cancer Well-adjusted adolescent who came in for a sports physical Man with a hearing impairment who uses sign language to communicate and who has an interpreter with him

B

Routine universal screening for intimate partner violence includes: Asking women if they have symptoms of depresslon or PTSD if they are abused Asking all women each time they come into the health care system if they are abused Asking women ages 18-30 years if they are abused Asking women who have injuries if they are abused

B

A 6-month-old infant has been brought to the well-child clinic for a check-up. When the nurse examiner enters the examining room, the infant is sleeping. What should the nurse do first when beginning the examination? Begin with the assessment of the eye, and continue with the remainder of the examination in a head-to-toe approach. O Auscultate the heart and lungs Examine the infant's hips, because this procedure is uncomfortable. Wake the infant before beginning any portion of the examination to obtain the most accurate assessment of body systems.

B

A newly admitted patient is in acute pain, has not been sleeping well lately, and is having difficulty breathing. How should the nurse prioritize these problems? sleep, breathing, pain breathing, pain, sleep breathing, sleep, pain Sleep, pain, breathing

B

A woman has just entered the emergency department after being battered by her husband. The nurse needs to get some information from her to begin treatment. What is the best choice for an opening phase of the interview with this patient? O Hello, Mrs. H., my name is Mrs. C. It sure cold today!" O "Mrs. H., my name is Mrs. C. I'll need to ask you a few questions about what happened. " O Hello, Nancy, my name is Mrs. C. O Mrs. H., my name is Mrs. C. How are you?"

B

In normal gait, the base should be wider than shoulder width and arm-swing should be asymmetrical. O True O False

B

In using verbal responses to assist the patient's narrative, some responses focus on the patient's frame of reference and some focus on the health care provider's perspective. An example of a verbal response that focuses on the health care provider's perspective would be: reflection confrontation empathy facillitation

B

The nurse is interviewing a male patient who has a hearing impairment. What techniques would be most beneficial in communicating with this patient? Request a sign language interpreter before meeting with him to help facillitate the communication Determine the communication method he prefers Speak loudly and with exaggerated facial movement when talking with him because doing so will help him lip read Avoid using facial and hand gestures because most hearing-impaired people find this degrading

B

The nurse is reviewing the principles of pain. Which type of pain is due to an abnormal processing of the pain impulse through the peripheral or central nervous system? Referred Neuropathic Cutaneous Visceral

B

The nursing process is a sequential method of problem solving that nurses use and includes which steps? Admission diagnosis treatment evaluation and dischharge planning Assessment, diagnosis, outcome identification, planning, Implementation, and evaluation Assessment. treatment planining evaluation, discharge, and follow up Admission, assessment diagnosis treatment and dischage planning

B

When a person is considered tolerant of an illicit substance, they require daily use of that substance in order to function. OTrue O False

B

When assessing a patient's nutritional status, the nurse recalls that the best definition of optimal nutritional status is sufficient nutrients that: O Provide for the minimum body needs. O Provide for daily body requirements and support increased metabolic demands. O Are in excess of daily body requirements. O Provide for daily body requirements but do not support increased metabolic demands.

B

When considering nutritional assessment, the nurse is aware that the most commonly used anthropometric measurements are: O leg circumference O height and weight O waist to hip ratio O total arm length

B

When evaluating patient's pain, the nurse knows that an example of acute pain would be: O low back pain O kidney stones O arthritis O fibromyalgia

B

When performing a physical assessment, the first technique the nurse will always use is: palpation inspection percussion auscultation

B

When the nurse is evaluating the reliability of a patient's responses, which of these statements would be correct? The patient: Smiled throughout interview and therefore is assumed reliable Provided consistent information and therefore is reliable Would not answer questions concerning stress and therefore is not reliable Has a history of drug abuse and therefore is not reliable

B

Which of these statements is true regarding the use of Standard Precautions in the health care setting? O Standard Precautions apply to all body fluids, including sweat. O Standard Precautions are to be used only when nonintact skin, excretions containing visible blood, or expected contact with mucous membranes is present. O Use alcohol-based hand rub if hands are visibly dirty. O Standard Precautions are intended for use with all patients, regardless of their risk or presumed infection status.

B

While measuring a patient's blood pressure, the nurse uses the proper technique to obtain an accurate reading. Which of the following patient conditions would cause an increase in the patient's blood pressure reading? (select all that apply) O Volume depletion of circulating blood O Increased peripheral vascular resistance O Decreased elasticity of blood vessel walls O Decreased cardiac output O Increased viscosity of the blood

B, C, D

A female patient does not speak English well, and the nurse needs to choose an interpreter. Which of the following would be the most appropriate choice? O female family member O volunteer college student from foreign language studles department O trained interpreter O male family member

C

A patient has been admitted to the hospital with vertebral fractures related to osteoporosis. She is in extreme pain. This type of pain would be classified as: Referred Cutaneous Deep somatic Visceral

C

A patient has finished giving the nurse information about the reason he is seeking care. When reviewing the data, the nurse finds that some information about past hospitalizations is missing. At this point, which statement by the nurse would be most appropriate to gather these data? O "Mr. Y., you mentioned that you have been hospitalized on several occasions. Would you tell me more about that?" O "Mr. Y., I Just need permission to get your medical records from County Medical." O "Mr. Y., I just need to get some additional information about your past hospitalizations. When was the last time you were admitted for chest pain?" O "Mr. Y., at your age, surely you have been hospitalized beforel"

C

A patient is complaining of severe knee pain after twisting it during a basketball game and is requesting pain medication. Which action by the nurse is appropriate? O Evaluating the full range of motion of the knee and then medicating for pain O Telling the patient that the pain medication must walt until after the x-ray images are completed O Administering pain medication and then proceeding with the assessment O Completing the physical examination tirst and ther giving the pain medication

C

During an examination of a patient's abdomen, the nurse notes that the abdomen is rounded and firm to the touch. During percussion, the nurse notes a drum-like quality of the sounds across the quadrants. This type of sound indicates: O Presence of dense organs. O Presence of a tumor. O Air-filled areas. O Constipation.

C

In an interview, the nurse may find it necessary to take notes to aid his or her memory later. Which statement is true regarding note- taking? Note-taking allows the nurse to shift attention away from the patlent, resulting in an increased comfort level Note-taking allows the patient to continue at his or her own pace as the nurse records what is said e Note-taking may impede the nurse's observation of the patient's nonverbal behaviors Note-taking allows the nurse to break eye contact with the patient, which may increase his or her level of comfort

C

In the health promotion model, the focus of the health professional includes: Identifying negative health acts of the consumer changing the patient's perceptions of disease helping the consumer choose a healthier lifestyle identifying biomedical model interventions

C

The nurse is assessing a patient's skin during an office visit. What part of the hand and technique should be used to best assess the patient's skin temperature? O Fingertips; they are more sensitive to small changes in temperature. O Ulnar portion of the hand; increased blood supply in this area enhances temperature sensitivity. O Dorsal surface of the hand; the skin is thinner on this surface than on the palms. O Palmar surface of the hand; this surface is the most sensitive to temperature variations because of its increased nerve supply in this area.

C

The nurse is conducting an interview with a woman who has recently leamed that she is pregnant and who has come to the clinic today to begin prenatal care. The woman states that she and her husband are excited about the pregnancy but have a few questions. She looks nervously at her hands during the interview and sighs loudly. Considering the concept of communication, which statement does the nurse know to be most accurate? The woman is: Excited about her pregnancy, but her husband is not and this is upsetting to her Not excited about her pregnancy but believes the nurse will negatively respond to her if she states this Exhibiting verbal and nonverbal behaviors that do not match Excited about her pregnancy but nervous about the labor

C

The nurse is helping at a health fair at a local mall. When taking blood pressures on a variety of people, the nurse keeps in mind that: After menopause, female blood pressure readings are usually lower than men Blood pressures in overweight individuals should be the same as those who are normal weight Blood pressures of African-American adults are usually higher than non-Hispanic white persons of the same age Normal blood pressure readings after puberty for males and females are the same

C

The nurse is performing a general survey of a patient. Which finding is considered normal? O The patient appears older than his stated age O Arm span (fingertip to fingertip) is greater than the height. O Arm span (fingertip to fingertip) equals the patient's height. O When standing. patient's base is narrow.

C

The nurse is performing a review of systems on a 76-year-old patient. Which of these statements is correct for this situation? The questions asked are identical for all ages. The Interviewer will start Incorporating different questions for patients 70 years of age and older. Questions that are reflective of the normal effects of aging are added. At this age, a review of systems is not necessarythe focus should be on current problents

C

The nurse is preparing to measure the vital signs of a 6-month-old infant. Which action by the nurse is correct? O Procedures are explained to the parent, and the infant is encouraged to handle the equipment. O The nurse should first perform the physical examination to allow the infant to become more familiar with her and then measure the infant's vital signs. O Respirations are measured; then pulse and temperature. O Vital signs should be measured more frequently than in an adult.

C

The nurse is reviewing the development of culture. Which statement is correct regarding the development of one's culture? Culture is: O a nonspecific phenomenon and is adaptive but unnecessary O genetically detemined on the basis of racial background O learned through language acquisition and socialization O biologically determined on the basis of physical characteristics

C

The nurse makes which adjustment in the physical environment to promote the success of an interview? O Provides a dim light that makes the room cozy and helps the patient relax O Reduces the distance between the interviewer and the patient to 2 feet or less O Reduces nolse by turning off televisions and radios O Arranges seating across a desk or table to allow the patient some personal space

C

When assessing the force or strength of a pulse, the nurse recalls that the pulse: O Demonstrates elasticity of the vessel wall. O Is usually recorded on a 0 to 2 point scale. O Is a reflection of the heart's stroke volume. O Reflects the blood volume in the arteries during diastole.

C

When measuring a patient's body temperature, the nurse keeps in mind that body temperature is influenced by: O Constipation. O Nocturnal cycle. O Diurnal cycle. O Patient's emotional state,

C

When reviewing the concepts of health, the nurse recalls that the components of holistic health include which of these? the individual human is a closed system disease originates from the external environment views the mind, body and soul as interdependent Nurses are responsible for the patients health state

C

Which technique is correct when the nurse is assessing the radial pulse of a patient? The pulse is counted for: 15 seconds and then multiplied by 4 for the most accurate reading. 10 seconds and then multiplied by 6, if the patient has no history of cardiac abnormalities. 1 full minute, if the rhythm is irregular. 2 full minutes to detect any variation in amplitude.

C

A 17-year-old single mother is describing how difficult it is to raise a 3-year-old child by herself. During the course of the interview she states, "I can't believe my boyfriend left me to do this by myself! What a terrible thing to do to me!" Which of these responses by the nurse uses empathy? O "You feel alone." O 1 would be angry, too; ralsing a child alone is no picnic." O "You can't belleve he left you alone?" O "It must be so hard to face this all alone."

D

A 63-year-old Chinese-American man enters the hospital with complaints of chest pain, shortness of breath, and palpitations. Which statement most accurately reflects the nurse's next best course of action? The nurse should focus on performing a full cardiac assessment This patient is not in any danger at present; therefore, the nurse should send him home with instructions to contact his physician The nurse should focus on psychosomatic complaints because the patient has just learned that his wife has cance It is unclear what is happening with this patient; consequently, the nurse should perform an assessment in both the physical and the psychosocial realms

D

A 70-year-old man has a blood pressure of 150/90 mm Hg in a lying position, 130/80 mm Hg in a sitting position, and 100/60 mm Hg in a standing position. How should the nurse evaluate these findings? O The change in blood pressure readings Is considered within normal limits for the patient's age. O The blood pressure reading in the lying position is within normal limits. O These readings are a normal response and attributable to changes in the patient's position. O The change in blood pressure readings is called orthostatic hypotension

D

Which BMI category in adults is indicative of obesity? <18.5 25.0 to 29.9 18.5 to 24.9 30.0 to 39.9

D

A man is at the clinic for a physical examination. He states that he is "very anxious" about the physical examination. What steps can the nurse take to make him more comfortable? O Defer measuring vital signs until the end of the examination, which allows him time to become comfortable. O Stay in the room when he undresses in case he needs assistance. O Ask him to change into an examining gown and to take off his undergarments. O Appear unhurried and confident when examining him.

D

A patient is at the clinic to have her blood pressure checked. She has been coming to the clinic weekly since she changed medications 2 months ago. The nurse should: Ask her to read her health record and indicate any changes since her last visit Check only her blood pressure because her complete health history was documented 2 menths ago Obtain a complete health history before checking her blood pressure because much of her history information may have changed. Collect a follow-up data base and then check her blood pressure

D

A patient is describing his symptoms to the nurse. Which of these statements reflects a description of the setting of his symptoms? O "I also have the sweats and nausea when I feel the pain" O "I think this pain is telling me something bad is wrong with me" O "It is a sharp, burning pain in my stomach" O The pain happens every time I sit down to use the computer"

D

A patient tells the nurse that he is allergic to penicillin. What would be the nurse's best response to this information? O "How often have you recelved penicilin?" O "TIll write your allergy on your chart so you won't recelve any penicillin." O "Are you allergic to any other drugs?" O "Describe what happens to you when you take penicillin."

D

After completing an initial assessment of a patient, the nurse has charted that his respirations are within normal range and his pulse is 58 beats per minute. These types of data would be: introspective reflective subjective objective

D

During an interview, the nurse states, "You mentioned having shortness of breath. Tell me more about that." Which verbal skill is used with this statement? reflection direct questioning facilitation open-ended questioning

D

The nurse is assessing an 80-year-old male patient. Which assessment findings would be considered nomal? O Increase in body weight from his younger years O Additional deposits of fat on the thighs and lower legs O Change in overall body proportion, including a longer trunk and shorter extremities O Presence of kyphosis and flexion in the knees and hips

D

The nurse is examining a patient's lower leg and notices a draining ulceration. Which of these actions is most appropriate in this situation? OnWashing hands, proceeding with rest of the physical examination, and then continuing with the examination of the leg ulceration O Washing hands, and contacting the physician O Continuing to examine the ulceration, and then washing hands O Washing hands, putting on gloves, and continuing with the examination of the ulceration

D

The nurse is performing a general survey. Which action is a component of the general survey? O Observing specific body systems while performing the physical assessment O Interpreting the subjective information the patient has reported O Measuring the patient's temperature, pulse, respirations, and blood pressure O Observing the patient's body stature and nutritional status

D

The nurse is preparing to assess a hospitalized patient who is experiencing significant shortness of breath. How should the nurse proceed with the assessment? A complete history and physical assessment should be immediately performed to obtain baseline Information. A thorough history and physical assessment information should be obtained from the patient's family member. The patient should lie down to obtain an accurate cardiac, respiratory, and abdominal assessment. Body areas appropriate to the problem should be examined and then the assessment completed after the problem has resolved.

D

The nurse is preparing to use a stethoscope for auscultation. Which statement is true regarding the diaphragm of the stethoscope? The diaphragm: Should be lightly held against the person's skin to block out low-pitched sounds. Should be lighly held against the person's skin to listen for extra heart sounds and murmurs. Is used to listen for low-pitched sounds Is used to listen for high-pitched sounds.

D

The nurse is reviewing percussion techniques with a newly graduated nurse. Which technique, if used by the new nurse, indicates that more review is needed? Quickly lifting the striking finger after each stroke Using the wrist to make the strikes, not the arm Striking with the fingertip, not the finger pad Percussing once over each area

D

The nurse is reviewing the naturalistic hot and cold theory of health and illness. Which statement best describes the basic tenets of this theory? O herbs and medicines are classified on their physical characteristics of hot and cold O the four humors of the body consist of blood, yellow bile, spiritual connectedness and social aspects of the individual O the causation of illness is based on supernatural forces that influence body humors O the treatment of disease consists of adding or subtracting cold, heat, dryness, or wetness to restore the balance of humors in the body

D

The nurse is reviewing the principles of nociception. During which phase of nociception does the conscious awareness of a painful sensation occur? modulation transduction transmission perception

D

The nurse notices a colleague preparing to check blood pressure on an obese client with a standard- size blood pressure cuff. The nurse should expect the reading to: O vary as a result of the technique of the person performing the assessment O yield a falsely low blood pressure O be the same regardless of cuff size O yield a falsely high blood pressure.

D

The nurse should measure rectal temperatures in which of these patients? O Patient receiving oxygen by nasal cannula O Infant during well-baby visit O School-age child O Comatose adult

D

When reviewing the use of alcohol by older adults, the nurse notes that older adults have several characteristics that can increase the risk of alcohol use. Which would increase the bioavailability of alcohol in the blood for longer periods in the older adult? O decreased blood pressure O increased cardiac output O Increased muscle mass O decreased kidney functioning

D

Which statement indicates that the nurse understands the pain experienced by an older adult? O "Older adults must learm to tolerate pain." O "Older individuals percelve pain to a lesser degree than do younger Individuals." O "Pain is a normal process of aging and is to be expected." O "Pain indicates a pathologic condition or an injury and is not a normal process of aging."

D


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