Which of the following nursing actions is helpful for older clients who are experiencing lens changes associated with aging?

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Question 1 of 5

Which of the following nursing actions is helpful for older clients who are experiencing lens changes associated with aging?

Correct Answer: A

Rationale: Large-sized letters help compensate for decreased visual acuity due to aging-related lens changes.

Question 2 of 5

Which physical assessment finding should be reported to the physician?

Correct Answer: C

Rationale: A bulging red or blue tympanic membrane indicates acute otitis media or other serious conditions requiring medical intervention.

Question 3 of 5

Match the descriptions to the stages of sleep. Some descriptions may have more than one stage and some stages may be used more than once.

Correct Answer: D

Rationale: The correct answer is D (REM). REM sleep is characterized by brain waves resembling wakefulness and vivid dreaming. The deepest sleep (B) corresponds to NREM Stage 3, while specific EEG waveforms (C) are associated with all stages.

Question 4 of 5

During the rehabilitation of a patient with limited mobility, how can decubitus ulcers be prevented?

Correct Answer: D

Rationale: Maintaining skin integrity through cleanliness and moisture management prevents pressure ulcers.

Question 5 of 5

A physician is monitoring intravenous fluids for someone who is currently being treated for metabolic acidosis. The physician monitors his signs and symptoms typical of metabolic acidosis which include:

Correct Answer: B

Rationale: The correct answer is Hypotension, altered heart rate, elevated respiratory rate, and muscle weakness (B). Metabolic acidosis causes the body to compensate by increasing respiratory rate to blow off CO2, leading to hyperventilation. Other symptoms include hypotension, altered heart rate, and muscle weakness due to electrolyte imbalances.

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