Answer to Question 1
C
The nurse demonstrates leadership in the care of older adults by initiating and coordinating col-laboration with the wound care team to improve the health of an older adult. Screening and as-sessing are only indirectly related to collaboration. In this case, the nurse's collaborative efforts are unrelated to facilitating access to a program. Thus far, the nurse has not educated or trained this patient in wound care.
Answer to Question 2
D
Weber's test, in which a vibrating tuning fork is placed on the center of the forehead, detects the differences in hearing between one ear and the other caused by poor sound conduction. During testing, the patient is asked to describe the sensation felt when the tuning fork is activated and then placed on the forehead. If the patient's hearing by conduction is intact, then he or she will feel vibrations conducted through the bones of the skull from the tuning fork. Weber's test with the tuning fork is used to detect conductive hearing loss.
Presbycusis affects both ears and has a sensorineural origin. The tuning fork test is used to detect conductive hearing loss in one ear. Tinnitus is a hearing sensation not caused by an actual sound. The tuning fork test is used to detect hearing loss caused by poor sound conduction.
When working with the patient with impaired hearing, the interpreter needs to direct questions to th
Measuring Patient Height
Patient receiving ultrasound treatment to the left elbow.
B, The nurse teaches the postoperative client to use an incentive spirometer to expand the lungs.
The nurse cares for the postop client in the postanesthesia care unit (PACU).
Applying developmental theory to care