A nurse who provides care in an extended-care setting works primarily with adults aged 75 and older.
When planning care and implementing safety measures for this population, the nurse should be cognizant of which of the following normal, age-related changes to the musculoskeletal system?
A) Decreased bone mass
B) Presence of osteochondromas
C) Decreased collagen in muscles
D) Increased elasticity of tendons
Question 2A nurse is providing morning care for a female patient who has been admitted for the treatment of a pressure ulcer. The patient is a quadriplegic following a spinal cord injury several years ago.
While providing a bed bath to the patient, the nurse notes that many of her muscles are rigid and in a state of flexion. The nurse would document the presence of:
A) Spasticity
B) Tonus
C) Flaccidity
D) Atonia
Question 3A nurse is presenting an educational event to a local community group and is speaking about colorectal cancer. What would the nurse identify as a risk factor associated with colorectal cancer?
A) Age greater than 50
B) History of bowel obstruction
C) Family history of stomach cancer
D) Low-fat, low-protein, low-fiber diet
Question 4A child has fallen off a swing on a playground and sustained a greenstick (partial) fracture of his radius. Because the child is otherwise healthy, healing has begun promptly after his injury.
Which of the following is the first stage of bone healing?
A) Angiogenesis and cartilage formation
B) Remodeling
C) Cartilage calcification and removal
D) Inflammation and hematoma formation
E) Bone formation
Question 5A 75-year-old male patient presents at the emergency department with symptoms of a small bowel obstruction. An emergency room nurse is obtaining assessment data from this patient.
What assessment finding is characteristic of a small bowel obstruction?
A) Nausea and vomiting
B) Decrease in urine production
C) Mucus in the stool
D) Mucosal edema
Question 6A patient with a new ileostomy is preparing to go home. What should the patient be taught about changing his ileostomy?
A) Apply moisturizing lotion after cleaning the stoma.
B) Apply a skin barrier to the peristomal skin prior to applying the pouch.
C) Dispose of the clamp with each bag change.
D) Cleanse the area surrounding the stoma with alcohol.
Question 7A patient is recovering in the PACU following gastric surgery. The nurse who is providing this patient's care is performing frequent assessments of the character and quantity of the patient's nasogastric (NG) drainage.
What are the nurse's expected findings during these assessments?
A) Copious quantities of straw-colored output
B) Scant amounts of greenish-colored output
C) Small amounts of blood-tinged output
D) Moderate amounts of clear output
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