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Title: During physical assessment of a patient, age 64, which finding would the nurse consider abnormal? ... Post by: dudekim on Mar 7, 2018 During physical assessment of a patient, age 64, which finding would the nurse consider abnormal?
a. Nonpalpable ovaries b. Serous nipple drainage c. Pendulous breasts d. Atrophy of vaginal tissue Question 2 The husband of a 77-year-old woman is her sole care provider, a responsibility that has become onerous since she was diagnosed with Alzheimer's disease 3 months prior. When working with the husband, which of the following actions is most appropriate? A) Encouraging the husband to independently develop techniques for basic care that he feels work best for him and his wife. B) Emphasizing to the husband the importance of remaining optimistic and enthusiastic when interacting with his wife. C) Encouraging the husband not to feel guilty for needing respite on occasion. D) Organizing outside help to minimize the amount of direct care that the husband provides. Question 3 A nurse recommends to an older patient's family to place a seat alongside the bathtub to enable the older adult bather to rest while drying off. What is the best explanation for the nurse's recommendation? A) A drop in blood pressure may follow bathing. B) Nonslip surfaces are essential for tubs and shower floors. C) The elderly use the bathroom often and can benefit from the rest. D) Most elderly have an age-related problem discriminating hazards. Question 4 The nurse is preparing to suction a patient with an endotracheal tube. What would be the nurse's first step in the suctioning process? A) Explain the procedure to the patient before beginning and offer reassurance during suctioning. B) Turn on suction source at or below 120 mm Hg. C) Assess the patient's lung sounds and SaO2 via pulse oximeter. D) Perform hand hygiene, then put on nonsterile gloves, goggles, gown, and mask. Question 5 While caring for a patient with an endotracheal tube the nurse recognizes that suctioning is required: A) Every 2 hours B) When adventitious breath sounds are auscultated C) To prevent the patient from coughing D) To stimulate the cough reflex Title: During physical assessment of a patient, age 64, which finding would the nurse consider abnormal? ... Post by: woodstock24 on Mar 7, 2018 B Specific examination of the nipple, through compression for discharge, and the areola through palpation should not be forgotten. C Feedback: The need for respite is a common need that the nurse should normalize for the husband. Techniques for basic care should be taught, and expecting the husband to exhibit a positive demeanor at all times is unrealistic and likely to foster guilt. While outside help may be required at times, the goal should not be to minimize or eliminate the care the husband himself provides. A Feedback: A drop in blood pressure may follow bathing; sitting down after bathing lessens the risk of the elderly bather falling because of low blood pressure. Nonslip surfaces inside tubs and shower stalls are important, but this choice is not a reason for having a seat outside the tub. It is not true that the elderly use the bathroom often and can benefit from the rest. It is also not true that most elderly have an age-related problem with discriminating hazards. C B Title: During physical assessment of a patient, age 64, which finding would the nurse consider abnormal? ... Post by: dudekim on Mar 7, 2018 Now I'm convinced to ask more questions :)
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