A nurse is caring for a client who has a terminal illness and a family member asks why the client's mouth is continually open. Which of the following responses should the nurse make?

The reduced muscle tone relaxed the low muscles

"That happens when a person gets close to death

"I can apply a chin strap to help hold the mouth closed

Answer and Explanation

The Correct Answer is A

A. The reduced muscle tone had relaxed the law muscles CORRECT
Prior to death, decreased muscle tone causes jaw muscles to relax resulting in an open mouth.

B. "That happens when a person gets close to death INCORRECT
This automatic response is nontherapeutic and does not address the family member's question

C. "I can apply a chin strap to help hold the mouth closed INCORRECT
Applying a chin strap is a postmortem action that the nurse can take to keep the mouth closed

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Free Nursing Study Resources

Correct Answer is ["1820"]

Explanation

1. IV fluids:

150 mL/hr * 8 hr = 1200 mL

2. Juice:

4 oz * 30 mL/oz = 120 mL

3. Water:

0.5 L * 1000 mL/L = 500 mL

Total intake:

1200 mL + 120 mL + 500 mL = 1820 mL

A. Body regulation of heat and cold increases with age. B. Circulation becomes less efficient with age. C. Increased metabolic rate occurs with age, and increasing body temperature. D. Sweat gland activity is increased with age.

Correct Answer is B

Explanation

A. Body regulation of heat and cold increases with age: This statement is incorrect. Age-related changes can lead to decreased efficiency in regulating body temperature, making older adults more susceptible to extreme temperatures.
B. Circulation becomes less efficient with age: Correct. With age, blood vessels can lose some of their elasticity, leading to decreased efficiency in circulating blood throughout the body. This can impact the ability to respond to temperature changes effectively.
C. Increased metabolic rate occurs with age, and increasing body temperature: This statement is incorrect. In general, metabolic rate tends to decrease with age, which can contribute to decreased heat production in older adults.
D. Sweat gland activity is increased with age: This statement is incorrect. Sweat gland activity tends to decrease with age, leading to decreased sweating and potential challenges in cooling the body during hot conditions.

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A nurse is caring for a client who has a terminal illness and a family member asks why the client's mouth is continually open. Which of the following responses should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["1820"]

Explanation

1. IV fluids:

2. Juice:

3. Water:

Total intake:

A nurse is assisting with a presentation to a group of older adults at a community center about hypothermia and hyperthermia. Which of the following information should the nurse include about age-related changes?

Correct Answer is B

Explanation

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