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A nurse is caring for an older adult with a hearing loss secondary to aging.
What can the nurse expect to identify when assessing this client? (Select
all that apply.)
1.Dry cerumen
2.Tears in the tympanic membrane
3.Difficulty hearing high-pitched voices
4.Decrease of hair in the auditory canal
,5.Overgrowth of the epithelial auditory lining - 🧠 ANSWER ✔✔1.Dry
cerumen
3.Difficulty hearing high-pitched voices
A nurse receives a shift report on four adult clients that are between the
ages of 25-55. Which client should the nurse assess first?
1.Male client with a hemoglobin of 15.9
2.Female client on warfarin (Coumadin) with an International Normalized
Ratio (INR) of 7.5
3.Female client taking daily calcium supplements with a serum calcium
level of 9.4
4.Male client with a blood urea nitrogen (BUN) of 20 and a creatinine of 1.1
- 🧠 ANSWER ✔✔2.Female client on warfarin (Coumadin) with an
International Normalized Ratio (INR) of 7.5
A client comes to the clinic complaining of a productive cough with copious
yellow sputum, fever, and chills for the past two days. The first thing the
nurse should do when caring for this client is to:
, 1.Encourage fluids
2.Administer oxygen
3.Take the temperature
4.Collect a sputum specimen - 🧠 ANSWER ✔✔3.Take the temperature
What should the nurse do initially when obtaining consent for surgery?
1.Describe the risks involved in the surgery.
2.Explain that obtaining the signature is routine for any surgery.
3.Witness the client's signature, which the nurse's signature will document.
4.Determine whether the client's knowledge level is sufficient to give
consent - 🧠 ANSWER ✔✔4.Determine whether the client's knowledge level
is sufficient to give consent
Considering Erikson's developmental theories, a 21-year-old male client
who has sustained a spinal injury below the level of T6 will most likely have
difficulty with:
1.Mastering his environment
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