A patient, age 27, sustained thermal burns to 18 of her body surface area. After the first 72 hours, the nurse will have to observe for the most common cause of burn-related deaths, which is
a. shock.
b. respiratory arrest.
c. hemorrhage.
d. infection.
Question 2Which of the following directives by the head nurse at a long-term care facility is most reflective of the activity theory of aging?
A) We need to facilitate older adults' desire to step back from the responsibilities and roles they had in earlier years..
B) It's hard to overestimate the importance of regular, physical exercise in maintaining health and healthy aging..
C) We need to remember that the psychological roles and characters of our residents change profoundly in later years of life..
D) We have to treat our residents like younger people and keep them engaged in meaningful acts..
Question 3The nurse assesses a change in the respiratory status of an older patient. Which findings should be reported to the health care provider immediately? (Select all that apply.)
A) Infrequent cough
B) Neck vein distention
C) Elevated blood pressure
D) Change in mental status
E) Clear drainage from the nose
Question 4A hospital clinical educator is espousing the disengagement theory of aging when teaching staff how best to meet the needs of older clients. Which of the nurse's teaching points best captures the disengagement theory of aging?
A) Older adults often benefit from a gradual and controlled withdrawal of their own interests from society's interests..
B) The disengagement between an older adult's abilities and desires can lead to frustration and, ultimately, to illness..
C) The lack of synchronicity between older adults' immune systems and their environments can be the root of many problems..
D) It is imperative that we ensure older adults remain engaged with interests and events beyond themselves..
Question 5A nurse arrives at an accident scene where the victim has just received an electrical burn. The nurse's primary concern is
a. the extent and depth of the burn.
b. the sites of entry and exit.
c. the likelihood of cardiac arrest.
d. control of bleeding.
Question 6A nurse is discussing an older adult client's apparent increased susceptibility to infection with his family.
Which of the following statements by the nurse would be most congruent with current thought around the autoimmune role in the aging process? A) Changes that we call 'mutations' in your father's cells make his organs more vulnerable to chronic illness and germs..
B) Older adults often have more difficulty fighting off infections because of their weaker immune systems, and their bodies can even attack themselves..
C) Diseases such as arthritis, which we term 'autoimmune,' make older people more likely to catch viruses and other bugs..
D) Our bodies seem to have an 'expiry date,' after which we are far more likely to get infections and develop chronic illness..
Question 7While making a home visit, the nurse determines that the quality of a patient's indoor air environment needs to be improved. What should the nurse instruct the patient? (Select all that apply.)
A) Damp dust furniture
B) Keep windows closed
C) Avoid smoking inside the home
D) Vacuum the floor coverings regularly
E) Install air filters in heating and air conditioning units
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