更多"The nurse is assessing an elderly c"的相关试题:
[单项选择]The nurse is assessing a client with heart failure. The breath sounds commonly auscultated in clients with heart failure are
A. tracheal.
B. fine crackles.
C. coarse crackles.
D. friction rubs.
[单项选择]The nurse is assessing a client who gave birth yesterday. Where should the nurse expect to find the top of the client's fundus ？（）
A. One fingerbreadth above the umbilicus.
B. One fingerbreadth below the umbilicus.
C. At the level of the umbilicus.
D. Below the symphysis pubis.
[单项选择]The nurse is assessing a client diagnosed with appendicitis. Which of the following signs or symptoms should the nurse expect to find ？（）
A. Rigid abdomen, Levine's sign, pain relief leaning forward.
B. Rebound tenderness, McBurney's sign, low-grade fever.
C. Right lower quadrant pain, Chvostek's sign, muscle guarding.
D. Periumbilical pain, Trousseau's sign, pain relief with pressure.
[单项选择]The nurse is assessing a client with possible Cushing's syndrome. In a client with Cushing's syndrome, the nurse would expect to find （）.
A. hypotension.
B. thick, coarse skin.
C. deposits of adipose tissue in the trunk and dorsocervical area.
D. weight gain in arms and legs.
[单项选择]The nurse is assessing a client with possible osteoarthritis. The most significant risk factor for osteoarthritis is （）.
A. congenital deformity.
B. age.
C. trauma.
D. obesity.
[单项选择]The nurse is assessing a client suffering from stress and anxiety. A common physiological response to stress and anxiety is
A. sedation.
B. diarrhea.
C. vertigo.
D. urticaria.
[单项选择]When assessing a client with chest pain, the nurse obtains a thorough history. Which statement by the client is most suggestive of angina pectoris
A. "The pain lasted for about 45 minutes. "
B. "The pain resolved after I ate a sandwich. "
C. "The pain worsened when I took a deep breath. "
D. "The pain occurred while I was mowing the lawn. "
[单项选择]The nurse is assessing a client with an ileal conduit. She notes that the client's urinary appliance contains pale yellow urine with large amounts of mucus. How would the nurse best interpret these data
A. These findings are normal for the client.
B. There is irritation of the stoma.
C. The client is developing an infection of the urinary tract.
D. The mucus is caused by elevated levels of glucose in the urine.
[单项选择]The nurse is preparing an elderly client to get out of bed on the first postoperative day after a total hip replacement. Which of the following activities would be most helpful to the client
A. Demonstrate the use of a walker with partial weight bearing.
B. Explain to the client that she will be lifted out of bed to a chair.
C. Reassure the client that she will be assisted to walk to the hall.
D. Demonstrate the swing-through crutch-walking gait with limited weight hearing.
[单项选择]The nurse is caring for an elderly client who exhibits signs of dementia. The most common cause of dementia in an elderly client is （）.
A. delirium.
B. depression.
C. excessive drug use.
D. Alzheimer's disease.
[单项选择]While assessing a client who complained of lower abdominal pressure, the nurse notes a firm mass extending above the symphysis pubis. The nurse suspects
A. a urinary tract infection.
B. renal calculi.
C. an enlarged kidney.
D. a distended bladder.
[单项选择]When assessing a client with partial thickness burns over 60% of the body, which of the following should the nurse report immediately
A. Complaints of intense thirst.
B. Moderate to severe pain.
C. Urine output of 70 mL the 1st hour.
D. Hoarseness of the voice.
[单项选择]When assessing a client as a candidate for crutch walking, the nurse should take into account that for some elderly people, crutch walking is an impractical goal primarily because which of the following reason
A. Decreased reaction time.
B. Decreased visual acuity.
C. Decreased motor coordination.
D. Decreased level of comprehension.
[单项选择]An elderly client with Alzheimer's disease begins supplemental tube feedings through a gastrostomy tube to provide adequate calorie intake. The nurse should be concerned most with the potential for （）.
A. hypoglycemia.
B. fluid volume excess.
C. aspiration.
D. constipation.
[单项选择]The nurse is assessing a postcraniotomy client and finds the urine output from a catheter is 1,500 mL for the 1st hour and the same for the 2nd hour. The nurse should suspect
[单项选择]An elderly client's lithium level is 1.4 mEq/L. She complains of diarrhea, tremors, and nausea. The nurse's first action is to
A. hold the lithium (Lithobid) and notify the physician.
B. reassure the client that these are normal adverse effects.
C. administer another lithium dose.
D. discontinue the lithium.
[单项选择]The nurse is assessing a 71-year-old female client with ulcerative colitis. Which assessment finding related to the family will have the greatest impact on the client's rehabilitation after discharge ？（）
A. The family's ability to take care of the client's special diet needs.
B. The family's expectation that the client will resume responsibilities and role-related activities.
C. Emotional support from the family.
D. The family's ability to understand the ups and downs of the illness.
[单项选择]A client asks the nurse what PSA is. The nurse should reply that it stands for
A. prostate-specific antigen, used to screen for prostate cancer.
B. protein serum antigen, used to determine protein levels.
C. pneumococcal strep antigen, a bacteria that causes pneumonia.
D. papanicolaou-specific antigen, used to screen for cervical cancer.
[单项选择]A nurse needs assistance transferring an elderly, confused client to bed. The nurse leaves the client to find someone to assist her with the transfer. While the nurse is gone, the client falls and hurts herself. The nurse is at fault because she hasn't （）.
A. properly educated this client about safety measures.
B. restrained the client.
C. documented that she left the client.
D. arranged for continual care of the client.
