The nurse is bathing an 80-year-old man and notices that his skin is wrinkled, thin, lax, and dry. This finding would be r/t which factor in the older adult?
A) Increased vascularity of the skin B) Increased numbers of sweat and sebaceous glands C) An increase in elastin and a decrease in subcutaneous fat D) An increased loss of elastin and a decrease in subcutaneous fat
After 5 years in a state hospital, an adult diagnosed with schizophrenia was discharged to the community. This patient now requires continual direction to accomplish activities of daily living and expects others to provide meals and do laundry. The nurse assesses this behavior as the probable result of
A) side effects of antipsychotic medications. B) dependency caused by institutionalization. C) cognitive deterioration from schizophrenia. D) stress associated with acclimation to the community.
As part of the health history of a 6-year-old boy at a clinic for a sports physical examination, the nurse reviews his immunization record and notes that his last measles-mumps-rubella (MMR) vaccination was at 15 months of age. What should the nurse recommend?
A) No further MMR immunizations are needed. B) MMR vaccination needs to be repeated at 4 to 6 years of age. C) MMR immunization needs to be repeated every 4 years until age 21. D) A recommendation cannot be made until the physician is consulted.
A patient tells the nurse that he is allergic to penicillin. What is the best response by the nurse?
A) "Are you allergic to any other drugs?" B) "How often have you received penicillin?" C) "Describe what happens to you when you take penicillin." D) "I'll write your allergy on your chart so you won't receive any penicillin."