When initially planning care for the older adult patient who is prescribed clonidine patches as part of a smoking cessation program, the nurse
a. assesses the patient for any skin disorders on the upper arms and back.
b. determines how many cigarettes or cigars the patient smokes per day.
c. asks if the patient is currently taking any antihypertensive medications.
d. educates the patient to the possible side effects of clonidine therapy.
Question 2A patient had a heart attack and the nurse identifies the diagnosis as activity intolerance. What assessment finding indicates a priority goal for this diagnosis is being met?
a. Mild chest pain getting into the chair
b. Feels unsteady when getting out of bed
c. O2 saturation 98 after using the com-mode
d. Less dyspnea when changing positions
Question 3An older adult patient has recently diagnosed gastritis. What statement made by this patient indicates the need for further teaching?
a. The abdominal pain is caused by acidity.
b. I should avoid taking aspirin.
c. Smoking has little effect on my stomach problem.
d. I could develop pernicious anemia.
Question 4Which assessment findings support the suspicion that an older patient has osteoporosis?
a. The patient's reports an allergy to dairy products.
b. A lactase enzyme is a part of the patient's drug regime.
c. Bones in one of the patient's lower legs are shorter than in the other.
d. The patient is inch shorter than at his or her previous physical.
Question 5A patient takes digoxin (Lanoxin) for heart failure with atrial fibrillation. The patient reports yellow vision and nause
a. The patient's digoxin level is 1.9 ng/mL. How does the nurse explain the situation to the patient?
a. Even with a normal blood level you may have digoxin toxicity.
b. You may have a gastrointestinal virus that is causing these symptoms.
c. You may not be getting a high enough dose of digoxin; I'll call the doctor.
d. Your cataracts may be worsening and you may need to have them removed.
Question 6An older patient is prescribed nifedipine (Procardia). What teaching topic is most important to discuss with this patient?
a. Need to monitor blood pressure
b. Need to follow low-salt diet
c. Need to change positions slowly
d. Need to add exercise to daily routine
Question 7Your patient reports frequent constipation as a result of prescription medications and asks the nurse for advice about using a daily over-the-counter laxative. The most appropriate response by the nurse is to
a. tell the patient to consult the health practi-tioner before using nonprescription drugs.
b. educate the patient about the side effects of regular laxative use.
c. tell the patient to avoid laxatives because they can interfere with medications al-ready being taken.
d. tell the patient to consult a dietician about ways to correct chronic constipation.
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