In teaching a patient with GERD to modify their lifestyle, which of the following do not exacerbate ...

In teaching a patient with GERD to modify their lifestyle, which of the following do not exacerbate symptoms in most people?
 
  a. decaffeinated tea
  b. chocolate
  c. smoking
   d. citrus

Question 2

A 60-year-old client is admitted to the medical unit for symptoms of fever and pneumonia. The client has a history of hepatitis and renal disease.
 
  In reviewing the medications ordered for this client, the nurse sees that a sedative is ordered for bedtime. Two hours after administering this medication to this client, the nurse cannot awaken the client. Blood pressure and pulse are within normal limits and respiratory rate is 12/min. This response is most directly related to
  A) therapeutic level of the sedative.
  B) lack of absorption of the drug.
  C) complications of pneumonia.
  D) excessive sedation related to medication administered for sleep.

Question 3

Older persons tend to die from acute illnesses more than chronic diseases
 
  Indicate whether the statement is true or false

Question 4

An older patient is demonstrating signs of paranoia. What does the nurse identify as possible causes for this type of psychosis? Standard Text: Select all that apply.
 
  1. Delirium
  2. Hearing loss
  3. Physical illness
  4. Social isolation
  5. Cognitive impairment

Question 5

Aspiration can occur at which point(s)?
 
  a. before the swallow
   b. after the swallow
  c. during the swallow
  d. all of the above

Question 6

An older patient being treated for abdominal pain reports no relief of pain and other somatic complaints after receiving adequate pain medication. What additional intervention is indicated for this patient?
 
  1. Reviewing the patient's lab values
  2. Contacting the family to talk to the patient
  3. Further assessment and treatment for depression
  4. Obtaining an order for different pain medication

Question 7

A nurse is preparing a care plan for a client in a long-term care facility who is experiencing dysphagia. Which of the following would be the priority nursing diagnosis for this client?
 
  A) Imbalanced nutrition: more than body requirements related to assisted feedings
  B) Imbalanced nutrition: less than body requirements related to inability to swallow foods and liquids
  C) Deficient knowledge related to need for thickened liquids
  D) Noncompliance related to need for thickened liquids

Question 8

Elderly Hispanics rate their overall health significantly higher than those from other ethnic groups
 
  Indicate whether the statement is true or false

Question 9

Which of the following cranial nerves would the nurse assess on a person if she was concerned about problems with eating and swallowing?
 
  a. V, VII, IX, X, XI, XII
  b. III, IV, VI, X
  c. II, VII, X, XII
  d. V, VII, VIII, IX, XII

Question 10

A home health nurse is speaking to the daughter of a client who has had an unintentional weight loss of 20 pounds in the last 3 months. The client resides with her daughter.
 
  The daughter asks the nurse what can I do to help keep my mom from losing more weight? Which is the most appropriate response by the nurse?
  A) You can add nonfat milk powder to food such as scrambled eggs to add more protein.
  B) There is not much you can change. Weight loss is just part of the aging process.
  C) Give your mother her liquid nutritional supplements with her meals.
  D) If she smoked in the past, let her start smoking again. This may increase her appetite.