An older patient asks the nurse practitioner what measures can be taken to maintain a healthy heart. ...

An older patient asks the nurse practitioner what measures can be taken to maintain a healthy heart. Which regimen should the nurse recommend to the patient?
 
  A) A low-salt diet and an aspirin tablet with each meal can promote a healthy heart..
  B) Abstaining from alcohol and limiting your use of painkillers have a protective effect on your heart..
  C) One Tylenol tablet and a glass of red wine each day have been shown to help prevent heart attacks..
  D) A low-dose aspirin each day and moderate use of alcohol can help prevent cardiovascular disease..

Question 2

The nurse has initiated measures to promote suppuration of a carbuncle. Which assessment would indicate that these measures have been successful?
 
  a. The area is erythematous and scaly.
  b. The area has begun to drain exudate.
  c. The area is not erythematous or edematous.
  d. The area has stopped draining exudate.

Question 3

An older patient who enjoys good health is experiencing a decline in stamina despite being physically active over the years. The nurse recognizes which age-related change as likely affecting the patient's stamina?
 
  A) Increased resting heart rate and blood pressure
  B) Reduced heart contractility and a prolonged cardiac cycle
  C) Stenosis of the aorta and decreased muscle tissue perfusion
  D) Hypotension with consequent inadequate peripheral blood supply

Question 4

Which of the following actions by a nurse who works with older adult clients in an assisted living facility is most likely to inhibit healthy aging?
 
  A) Discussing current events with clients who read and watch television.
  B) Placing a bib on each client during meal times to ensure clients maintain a clean appearance.
  C) Challenging clients to learn new skills and develop preexisting talents.
  D) Facilitating introductions between new and existing clients.

Question 5

A nurse is providing the open method of treatment for a patient who is 52 years old with burns to her lower extremities. It would be important for the nurse to
 
  a. change the dressing using good medical asepsis.
  b. provide an analgesic immediately after the dressing change.
  c. perform circulation checks every 2 to 4 hours.
  d. keep the room temperature at 85 F (24.4 C) to prevent chilling.

Question 6

An older patient with chronic bronchitis is having difficulty managing periods of dyspnea and anxiety. What can the nurse do to help the patient at this time? (Select all that apply.)
 
  A) Instruct on the disease process.
  B) Discuss reducing environmental irritants.
  C) Explain how to use transportable oxygen.
  D) Encourage to avoid temperature extremes.
  E) Recommend spending most time out of the home.

Question 7

Which of the following tasks are components of Erikson's description of the old age tasks of reconciling ego integrity with despair? Select all that apply.
 
  A) An 80-year-old man is struggling to determine his identity apart from his lifelong career as a business leader.
  B) A 79-year-old woman has established habits that promote her financial independence in spite of a lack of savings.
  C) An 80-year-old man revels in his large, happy family rather than focusing on his mobility limitations resulting from Parkinson disease.
  D) A 77-year-old man is trying to determine whether his life has had deep significance and meaning.

Question 8

A duodenal ulcer may occur 8 to 14 days after severe burns. Usually, the first symptom is bright red emesis. Which condition matches this description?
 
  a. Curling's ulcer
  b. Paralytic ileus
  c. Hypoglycemia
  d. ICU psychosis syndrome