The nurse is preparing discharge instructions for an older patient. For which medications should the ...

The nurse is preparing discharge instructions for an older patient. For which medications should the nurse teach the patient to avoid extended sun exposure? Standard Text: Select all that apply.
 
  1. Aspirin
  2. Ibuprofen
  3. Amiodarone
  4. Promethazine
  5. Acetaminophen

Question 2

The family of a 75-year-old client who is dying of liver cancer expresses a concern that the client will not eat or drink. The client is alert and oriented, and expresses no desire to eat. What action would the nurse take?
 
  A) comply with the client's wishes despite the family's concern
  B) contact the physician for an order for tube feedings
  C) consult the dietician for feeding supplements
  D) force fluids

Question 3

An older patient recently diagnosed with skin cancer does not understand why the disease developed since sunbathing has always been avoided. How should the nurse respond to this patient?
 
  1. Can you tell me more about your feelings?
  2. Sun exposure can happen from driving a car.
  3. We frequently never find out why cancer strikes.
  4. This is unusual, as skin cancer normally only occurs in sunbathers.

Question 4

An older patient complains about increasing dry skin. What should the nurse explain to the patient about this skin problem? Standard Text: Select all that apply.
 
  1. There is a reduction in sebum production as the body ages.
  2. There is a decrease in the number of sweat glands in the body with aging.
  3. There is a change in the keratinization and lipid content in the stratum corneum.
  4. There is an increase in body core temperature with aging, resulting in skin drying.
  5. There is a change in the structure of the skin cell because of years of using alcohol-based soaps.

Question 5

While performing a physical assessment, the nurse notes that an older patient has multiple brown and black bands on the finger nails of the thumbs and index fingers.
 
  What does this assessment finding indicate to the nurse? Standard Text: Select all that apply. 1. A fungal infection
  2. Damage to the nail matrix
  3. Possible melanoma of the nail
  4. Benign finding often seen in African Americans
  5. Finger nails split in response to recent trauma

Question 6

An 82-year-old client is dying of lung cancer. On review of the client's medication, the nurse notes that the client is being given pain control and that the client requires increasingly higher doses of medication.
 
  The physician prescribed morphine 6 to 10 mg every 4 hours. The previous dose of 10 mg was given 2 hours ago, and the client reports that the medication barely affected his pain. What intervention would the nurse perform to address the client's pain?
  A) wait 2 more hours and give the client 10 mg
  B) give the client 10 mg of morphine even though it is before the scheduled time
  C) contact the physician for an adjustment in pain medication
  D) give the patient 5 mg of morphine every hour instead of 10 mg every 2 hours