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A nurse who works on a subacute medical unit of a hospital is discussing the increasing population of older adults on the unit with a colleague. Which of the colleague's following statements about older adults is most accurate?
 
  A) Fortunately, Social Security ensures a sufficient level of income for people over 65..
  B) It helps that older people don't have to directly incur any costs for their medical care..
  C) Most of the older clients on the unit will have come to us from nursing homes..
  D) It's reassuring that people are starting to show more concern for older adults than in decades past..

Question 2

Which patients would be at greatest risk during surgery?
 
  a. 78-year-old taking an analgesic agent
  b. 43-year-old taking an antihypertensive agent
  c. 27-year-old taking an anticoagulant agent
  d. 10-year-old taking an antibiotic agent

Question 3

An appendectomy during a hysterectomy would be classified as
 
  a. major, emergency, diagnostic.
  b. major, urgent, palliative.
  c. minor, elective, ablative.
  d. minor, urgent, reconstructive.

Question 4

Sudden chest pain combined with dyspnea, cyanosis, and tachycardia is an indication of
 
  a. hypovolemic shock.
  b. dehiscence.
  c. atelectasis.
  d. pulmonary embolus.

Question 5

Which early postoperative observation is abnormal and should be reported immediately?
 
  a. Emesis that is red
  b. Complaint of feeling cold
  c. Nausea
  d. Complaint of pain

Question 6

The nurse is assisting with the sponge and instrument count in the operating room. The operative phase in which the nurse is assisting is called the
 
  a. perioperative phase.
  b. preoperative phase.
  c. intraoperative phase.
  d. postoperative phase.

Question 7

Serum potassium levels are usually determined before surgery to
 
  a. assess kidney function.
  b. determine respiratory insufficiency.
  c. prevent dysrhythmias related to anesthesia.
  d. measure functional liver capability.
One method of monitoring for signs and symptoms of fluid overload when administering diuretics is
 
  a. record daily morning weights (same time, scale, clothes).
  b. record random weights throughout the day (same scale, clothes, staff member).
  c. assess abdomen every shift.
  d. eat a diet high in sodium.

Question 2

An older female patient will only eat oatmeal and has bad breath. A dental exam reveals that the patient has a few of her own teeth and uses a partial appliance. She also has red, swollen, painful gums, and some teeth are loose at the gumline.
 
  The nurse realizes the patient is experiencing which health problem? A) Periodontal disease
  B) Endodontic disease
  C) Gastrointestinal disease
  D) Lack of adequate nutrition

Question 3

The clinic nurse is caring for a 42-year-old male oncology patient. He complains of extreme fatigue and weakness after his first week of radiation therapy. What response by the nurse would best reassure this patient?
 
  A) These symptoms usually result from radiation therapy; however, we will continue to monitor your laboratory and X-ray studies.
  B) These symptoms are part of your disease and can't be helped.
  C) Don't be concerned about these symptoms. Everybody feels this way after having radiation therapy.
  D) This is a good sign. It means that only the cancer cells are dying.

Question 4

Patients on diuretics who become hypokalemic should make sure they include which foods in their daily diet?
 
  a. Bananas, oranges, cantaloupe
  b. Carrots, summer squash, green beans
  c. Apples, pineapple, watermelon
  d. Winter squash, cauliflower, lettuce

Question 5

An 80-year-old patient is admitted to the hospital for dehydration related to flu symptoms and receives intravenous fluids. What is a major risk factor for the patient during this hospitalization?
 
  A) Fluid restriction can lead to infection and constipation.
  B) Fluid restriction can lead to serious electrolyte imbalance.
  C) Dehydration can lead to decreased ability of the bladder to distend.
  D) Overhydration can lead to problems when receiving intravenous fluids.

Question 6

You are caring for a patient who has just been given a 6-month prognosis. The patient states that he would like to die at home. The patient's care needs are unable to be met in a home environment.
 
  In collaboration with the care team, what might you suggest as an alternative?
  A) Discuss a referral for rehabilitation hospital.
  B) Panel the patient for a personal care home.
  C) Discuss a referral for acute care.
  D) Discuss a referral for hospice care.

Question 7

The infectious disease nurse leads a discussion about tuberculosis (TB) in the elderly. Which of the following pieces of information should the nurse include in the discussion?
 
  A) New infections of TB are more common in the elderly.
  B) Symptoms of TB in the elderly mirror other conditions.
  C) The key symptom of TB for the elderly is night sweats.
  D) The key symptoms of TB for the elderly are fever and anorexia.
Which novel reflected the author's debt to popular hardboiled detective fiction of the 1930s?
 
  A. Joyce's Ulysses
  B. Woolf's To the Lighthouse
  C. Hemingway's The Sun Also Rises
  D. Faulkner's The Sound and the Fury
List, define, and provide an example of each of the three specific leadership styles discussed in the text.
 
  What will be an ideal response?
Sam is giving a presentation about the best way to save money for college. He has chosen to use a bar chart comparing the cost of community college with a four-year college.
 
  His selection of a bar chart represents which of the design principles for presentation aids?
  a. Preview and Highlight
  b. Headline Your Visuals
  c. Exercise Restraint
  d. Choose Readable Type and Suitable Colors
  e. Use Appropriate Graphics
The textbook describes six informational listening skills. Describe each. Discuss your areas of
  strength and weakness.
 
  What will be an ideal response?
4 years ago in History (Humanities)
By the end of 1940, Germany had conquered all of the following countries, EXCEPT
 
  a. Sweden.
  b. Norway.
  c. Yugoslavia.
  d. Greece.
4 years ago in History (Humanities)
Why was slavery NOT adopted widely in New England the way it was in the Chesapeake?
 
  a. It violated the tenets of Puritan religion.
  b. New Englanders feared the possibility of organized slave rebellions.
  c. Indian slaves were widely available and far less costly.
  d. New Englanders preferred to use indentured servants.
  e. New England's small farms and lack of a staple crop made slavery unprofitable.
4 years ago in History (Humanities)
A disproportionate number of American soldiers in Vietnam were
 
  a. Native Americans.
  b. African Americans.
  c. college graduates.
  d. economically privileged young Americans.
  e. professional career soldiers.
4 years ago in History (Humanities)
Lincoln's initial declaration that the North fought only to preserve the Union and not to abolish slavery
 
  a. came as a disappointment to most northerners.
  b. was designed essentially to keep the Border States in the Union.
  c. was understood as politically necessary by most abolitionists.
  d. contradicted the campaign promises of the Republican party.
  e. cost him support in the Butternut region of Ohio, Indiana, and Illinois.
4 years ago in History (Humanities)
Under Benjamin Harrison and other administrations of the late nineteenth century, the center of political initiative and power was generally
 
  a. Congress.
  b. the president.
  c. the Supreme Court.
  d. the federal bureaucracy.
  e. the states.
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