A nurse is teaching a group of older adults about suspected changes of aging. Which
statement by a group member indicates effective teaching?
I should
... [Show More] expect my HR to take longer to return to normal after exercise.
Urinary incontinence is something I have to live with as I get older.
I can expect to have less ear wax as I get older.
My stomach will empty more quickly after meals as I grow older. - ANS-I should expect
my HR to take longer to return to normal after exercise.
A nurse is caring for a patient who is post-op with paralytic ileus. Which abdominal
assessment is expected?
Frequent bowel sounds with flatus
Absent bowel sounds with distention
Hyperactive bowel sounds with diarrhea
Normal bowel sounds with increased peristalsis - ANS-Absent bowel sounds with
distention
A nurse is planning care for a client with abdominal pain. An assessment reveals
temperature of 102.6 F, HR 105, soft-non-tender abdomen, menses overdue by 2 days.
Which of the following findings should be the priority?
Heart rate
Soft, non-tender abdomen
Temperature
Overdue menses - ANS-Temperature
Which instruction should be followed for a child who is post-op following a
tonsillectomy?
Encourage frequent coughing to clear congestion from anesthesia.
Place a heating pat at child's neck for comfort.
Administer analgesics to the child on a routine schedule throughout the day.
Provide the child with ice cream when oral intake is initiated. - ANS-Administer
analgesics to the child on a routine schedule throughout the day.
The nurse auscultates a high-pitched scratching sound during diastole with the
diaphragm of the stethoscope positioned at the left sternal border. Which of the
following heart sounds should the nurse document?
Audible click
Murmur
Third heart soundPericardial friction rub - ANS-Pericardial friction rub
A nurse is teaching an assistive personnel about proper hand hygiene. Which statement
from AP indicates understanding?
"There are times I should use soap and water instead of alcohol-based sanitizer"
"I will use cold water when I wash my hands to protect my skin from becoming too dry."
"I will apply friction for at least 10 seconds while washing my hands."
"After washing my hands I will dry them from the elbows down." - ANS-"There are times
I should use soap and water instead of alcohol-based sanitizer"
A nurse is caring for a client who is unstable and has vital signs measured every 15
minutes using an electronic BP machine. The nurse notices the machine begins to
measure BP at varied intervals and readings are inconsistent. which action should the
nurse take? [Show Less]