Which statement(s) about older people are only myths and illustrate the concept of ageism (select all that apply)?
- A. Can't teach an old dog new tricks
- B. Old people are not sexually active
- C. Most old people live independently
- D. Most older adults can no longer synthesize new information
Correct Answer: B
Rationale: Statements perpetuating stereotypes about learning ability, sexual activity, and cognitive function in older adults reflect ageism. Many older adults remain capable learners and maintain active lifestyles.
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A nurse in an urgent care center is caring for a client who is having an acute asthma exacerbation. Which of the following actions is the nurse's highest priority?
- A. Initiating oxygen therapy
- B. Providing immediate rest for the client
- C. Positioning the client in high-Fowler's
- D. Administering a nebulized beta-adrenergic
Correct Answer: D
Rationale: The correct answer is D: Administering a nebulized beta-adrenergic. This is the highest priority because it directly addresses the acute asthma exacerbation by helping to open up the airways and improve breathing. Step 1: Assess the client's respiratory status Step 2: Administering the nebulized beta-adrenergic medication to relieve bronchospasm and improve airflow Step 3: Monitor the client's response to the medication and adjust care accordingly. Other choices are incorrect because A: Oxygen therapy may be needed but addressing the bronchospasm is the priority. B: Rest is important but not the priority in managing an acute asthma exacerbation. C: Positioning is helpful but not the priority over administering the medication to improve breathing.
A client had an evacuation of a subdural hematoma. Which of the following actions should the nurse take first?
- A. Observe for cerebrospinal fluid (CSF) leaks from the evacuation site.
- B. Assess for an increase in temperature.
- C. Check the oximeter.
- D. Monitor for manifestations of increased intracranial pressure.
Correct Answer: C
Rationale: Step 1: Checking the oximeter is essential to assess the client's oxygen saturation levels immediately post-procedure.
Step 2: Hypoxia can lead to serious complications, impacting the client's neurological status.
Step 3: The nurse must prioritize oxygenation status to prevent further brain injury or hypoxemia.
Step 4: Observing for CSF leaks, assessing temperature, and monitoring ICP are important but not as immediate as ensuring adequate oxygen supply.
Summary: Option C is correct as it addresses the most critical and immediate concern post-procedure, ensuring optimal oxygenation for the client's neurological recovery. Options A, B, and D are important but secondary to maintaining oxygen levels.
If the patient becomes discouraged during the rehabilitation program, what should the nurse do?
- A. Tell the family that the patient has not adjusted
- B. Stop the rehabilitative program until the patient is more optimistic
- C. Listen to his complaints and continue to encourage him
- D. Ignore his complaints and continue with the rehabilitation efforts
Correct Answer: C
Rationale: Active listening and encouragement help maintain motivation and adherence to the rehabilitation program.
The PACU nurse applies warm blankets to a postoperative patient who is shivering and has a body temperature of 96.0°F (35.6°C). What treatment also may be used to treat the patient?
- A. Oxygen
- B. Vasodilating drugs
- C. Antidysrhythmic drugs
- D. Analgesics or sedatives
Correct Answer: A
Rationale: Shivering increases oxygen demand; providing oxygen supports metabolic needs.
Which triage assessment prioritizes the client’s need for treatment as the need to be seen now?
- A. Delayed
- B. Immediate
- C. Minimal
- D. Expectant
Correct Answer: B
Rationale: The correct answer is B because immediate triage indicates the client requires urgent treatment.