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When communicating with an older adult patient who has difficulty hearing, how should the nurse change her speech?
- A. Speak very loudly
- B. Speak rapidly
- C. Lower the tone of the voice
- D. Raise the tone of the voice
Correct Answer: C
Rationale: To communicate with a patient with a hearing loss, the nurse should lower the tone of the voice.
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What should be suggested to a patient to aid with the pain of claudication?
- A. Rest
- B. Exercise
- C. Cross legs
- D. Stand
Correct Answer: A
Rationale: A nursing intervention to relieve pain is to recommend the patient rest periodically until the pain subsides. Exercise and standing for long periods of time can exacerbate the pain. Crossing the legs can limit blood flow to the extremities and increase pain.
Which statements are myths that have been disproved concerning aging?
- A. All older adults are senile.
- B. Most older adults live in their own homes.
- C. Older adults are poor.
- D. Older adults have frequent contact with family members.
- E. Older adults are disabled.
Correct Answer: A,C,E
Rationale: All older adults are not senile; this is a myth. Mental decline is not inevitable. Older adults are not all poor, this is a myth. Older adults have a lower poverty rate than younger adults. Older adults are not all disabled; this is a myth. Most are able to manage their own care. Most older adults do live in their own homes and have frequent contact with family members.
The nurse recommends a breathing technique to help a patient with chronic obstructive pulmonary disease (COPD) to empty the lungs of used air and to promote inhalation of adequate oxygen. What is this method of breathing called?
- A. Pursed-lip breathing
- B. Increased inspiration
- C. Vital capacity
- D. Decreased expiration
Correct Answer: A
Rationale: Pursed-lip breathing can help empty the lungs of used air and promote inhalation of additional oxygen.
Which symptom of diabetes distorts tactile sensation?
- A. Proprioception
- B. Loss of visual acuity
- C. Progressive paresis
- D. Peripheral neuropathy
Correct Answer: D
Rationale: Peripheral neuropathy is the presence of abnormal sensation and it distorts tactile sensation.
The nurse recognizes that a term referring to mechanical difficulty of swallowing is
Correct Answer: dysphagia
Rationale: Dysphagia is a term that refers to mechanical difficulties in swallowing.