Complete Solutions
A nurse is teaching a group of older adults about suspected changes of aging. Which statement
by a group member indicates effective teaching?
I should expect my HR to take longer to return to normal after exercise.
Urinary incontinence is something I have to live with as I get older.
I can expect to have less ear wax as I get older.
My stomach will empty more quickly after meals as I grow older. ✔✔I should expect my HR to
take longer to return to normal after exercise.
A nurse is caring for a patient who is post-op with paralytic ileus. Which abdominal assessment
is expected?
Frequent bowel sounds with flatus
Absent bowel sounds with distention
Hyperactive bowel sounds with diarrhea
Normal bowel sounds with increased peristalsis ✔✔Absent bowel sounds with distention
A nurse is planning care for a client with abdominal pain. An assessment reveals temperature of
102.6 F, HR 105, soft-non-tender abdomen, menses overdue by 2 days. Which of the following
findings should be the priority?
, Heart rate
Soft, non-tender abdomen
Temperature
Overdue menses ✔✔Temperature
Which instruction should be followed for a child who is post-op following a tonsillectomy?
Encourage frequent coughing to clear congestion from anesthesia.
Place a heating pat at child's neck for comfort.
Administer analgesics to the child on a routine schedule throughout the day.
Provide the child with ice cream when oral intake is initiated. ✔✔Administer analgesics to the
child on a routine schedule throughout the day.
The nurse auscultates a high-pitched scratching sound during diastole with the diaphragm of the
stethoscope positioned at the left sternal border. Which of the following heart sounds should the
nurse document?
Audible click
Murmur
Third heart sound
Pericardial friction rub ✔✔Pericardial friction rub