The nurse approaching a patient who has a profound hearing loss should:
a. knock on the door prior to entering.
b. touch the patient on the hand to gain attention.
c. give the patient a list of interventions that the nurse plans to perform.
d. speak in a higher tone of voice.
Question 2When the nurse palpates a very weak pedal pulse in the right foot, the nurse would anticipate finding other indications of diminished peripheral circulation in the right foot and leg, such as ____________________________. (Select all that apply.)
a. bruising.
b. darkened color.
c. cool skin.
d. diminished hair on limb.
e. capillary refill of 3 seconds.
Question 3Match the breath sounds with the location for their auscultation.
a. Bronchial
b. Bronchovesicular
c. Vesicular
1. Over trachea
2. Outside intrascapular line
3. Above scapulae
Question 4The nurse explains that the tool that allows the evaluation of core function in a resident in a long-term facility is the ______ ________ _______.
Fill in the blank with correct word.
Question 5The nurse cautions the older man who has diminished depth perception that he will have difficulty:
a. judging the height of steps.
b. reading small print on food labels.
c. reading street signs.
d. seeing in dim light.
Question 6The home health nurse helps the family improve the safety of the environment for the 85-year-old male patient with Parkinson's disease who is at risk for falls related to;
a. postural hypotension
b. cognitive changes
c. altered vision
d. altered gait
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