An older patient experiencing abdominal pain, nausea, and vomiting brown liquid has taken an NSAID type of medication for general muscle aches. What effect might this drug have related to the patient's manifestations?
1. Diarrhea
2. Constipation
3. Increased BUN
4. Gastric irritation and bleeding
Question 2The general consensus on alcohol use in moderation among adults over age 65 is:
a. limit to one drink per day for females
b. limit to two drinks per day for females
c. limit to three drinks per day for males
d. there is no limit recommended by any organization
Question 3An older patient does not take a prescribed diuretic as planned because of the inconvenience of having to urinate frequently, which interrupts scheduled activities. What action should the nurse take with this patient?
1. Insist the drug be taken as prescribed.
2. Contact the physician to order another drug.
3. Advise to take the drug in divided dosages, half in the morning and half in the evening.
4. Discuss the daily activity schedule and adjust the drug administration time accordingly.
Question 4Which of the following would be the most appropriate bowel program for an older person with constipation who is recovering from a stroke?
a. daily soap suds enema
b. increase fiber, fluids, and activity
c. Colace four times per day
d. digital stimulation every morning after a suppository
Question 5A nurse is preparing a care plan for a client with limited English skills. The nurse has identified risk for impaired verbal communication as a nursing diagnosis. Which of the following interventions would be appropriate for this diagnosis?
A) Using an interpreter when communicating with the client
B) Asking a family member to act as an interpreter
C) Writing questions on a clip board for the client to read
D) Speaking loud and slow when attempting to communicate with the client
Question 6An older patient admitted with chest pain is prescribed Restoril 15 mg at bedtime. The usual dosage given to adults is 30 mg. What intervention would the nurse use for this patient?
1. Administer the drug as ordered.
2. Monitor the patient's renal function.
3. Ask the physician to change the dosage to 30 mg.
4. Give the drug and contact the doctor for a second dose if the patient does not fall asleep.
Question 7The nurse is teaching a patient about the available medications for smoking cessation. All of the following would be appropriate to teach the older person except.?
a. Bupropion SR is an acceptable medication
b. the patch provides a steady dose of nicotine
c. inhalers and nose sprays are now available over the counter
d. gum may help control cravings
Question 8A long-term care nurse is caring for a newly admitted Jewish client. In reviewing the client's records, the nurse notes that the client has refused her meals since she was admitted 3 days ago.
What would be the most appropriate intervention for the nurse to complete first?
A) Notify the physician.
B) Request for the dietitian to evaluate the client.
C) Call the client's family and ask them to bring in food from home for the client.
D) Speak to the client to see why she is not eating.
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