The nurse records the assessment of crackles when the nurse auscultates:
a. high-pitched sounds in the lung bases on inspiration.
b. continuous low-pitched snoring sounds over major bronchi.
c. squeaky musical sounds on expiration.
d. coarse grating sounds on inspiration and expiration.
Question 2The nurse performing an assessment of a 90-year-old man suspected of having an upper respiratory infection would expect to find:
a. temperature elevation over 100 F.
b. elevated white blood count.
c. history of recent periods of confusion.
d. record of increased fluid intake.
Question 3The most effective method to take an older adult's temperature is to use a(n):
a. electronic thermometer, because it only takes a few seconds to assess temperature.
b. oral thermometer, because the presence of dry mucous membranes gives a more valid temperature.
c. axillary thermometer, because its position is nearer the heart.
d. rectal thermometer, because it is the best indicator of the body core temperature.
Question 4The nurse is aware that the difference between the apical pulse and radial pulse is referred to as:
a. pulse pressure.
b. pulse deficit.
c. pulse ratio.
d. pulse quality.
Question 5An 85-year-old man accompanied by his son is unable to recall the medications that he is presently taking. The nurse should:
a. ask the question again.
b. rephrase the questions.
c. ask the son for the information.
d. leave that part of the health history blank.
Question 6Because the nurse is aware that the 86-year-old woman has age-related loss of subcutaneous fat and a lowered metabolism rate, the nurse will take special precautions to:
a. weigh the patient carefully without clothing.
b. prevent the patient from becoming chilled during the examination.
c. give fluids before the examination.
d. elevate the patient's head while he or she is lying in a supine position.
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