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Author Question: Dr. Martin is an 85-year-old retired physician who has recently been prescribed a new medication by ... (Read 83 times)

casperchen82

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on: Jul 22, 2018
Dr. Martin is an 85-year-old retired physician who has recently been prescribed a new medication by his health care provider for a complication related to diabetes. He now takes 13 different mediations daily. A student nurse who is seeing Dr.
 
  Martin during her community health clinical rotation prioritizes her assessment. Which of the following is most important to assess? A. Altered mental status
  B. Potential for falls
  C. Skin breakdown
  D. Medication side effects

Question 2

While auscultating a patient with pneumonia, a nurse hears low-pitched, continuous sounds over the bronchi. These sounds can best be described as:
 
  A. crackles.
  B. rhonchi.
  C. wheezes.
  D. a friction rub.


aloop

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Reply #1 on: Jul 22, 2018
Answer to Question 1

B
The physiological changes associated with aging, effects of multiple medications, psychological factors, and acute or chronic disease increase the older adult's risk for falls and other types of accidents.

Answer to Question 2

B
Crackles are most commonly heard in dependent right and left lung bases. These are heard on inspiration or at the end or inspiration and not cleared with coughing. Wheezes can be heard over all lung fields. These sounds are high-pitched, continuous, and musical sounds on inspiration or expiration. A friction rub is a dry, grating sound heard with the stethoscope. When heard over the heart, these can indicate pericarditis. When hear over the lungs, a sign of lung disease.


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casperchen82

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Reply #2 on: Jul 22, 2018
Both answers were spot on, thank you once again


aloop

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Reply #3 on: Jul 22, 2018
Great! Please up vote :D


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