The nurse is admitting a 45-year-old man to the medical-surgical unit. The patient has a diagnosis ...

The nurse is admitting a 45-year-old man to the medical-surgical unit. The patient has a diagnosis of Buerger's disease.
 
  While the nurse is taking the patient's health history, he reveals that he smokes about 2 packs of cigarettes a day, has a history of alcohol abuse, and does not exercise. What would be the priority teaching for this patient?
  A) The lack of exercise, which is the identified cause of Buerger's disease
  B) The likelihood that not exercising may cause his death in the near future without a significant change in behavior
  C) That cigarettes contain nicotine, which is a powerful vasoconstrictor and may cause or aggravate Buerger's disease
  D) The fact that alcohol suppresses the immune system, creates high glucose levels, and may cause Buerger's disease

Question 2

An older patient is being discharged to live with adult children who need to work during the day. What referral information would be beneficial for the patient and family members?
 
  1. Transitional care unit
  2. Retirement community
  3. Skilled nursing facility
  4. Community nursing care

Question 3

The nurse is teaching a client about the need to take the flu and pneumococcal vaccines. The client states he is too old and there is little reason to waste the solutions. Which response by the nurse is most therapeutic at this time?
 
  A) You are likely to get this disease if you do not take the vaccines.
  B) I will report your concerns to the physician.
  C) It is never too late in life to begin health promotion activities.
  D) I understand your feelings.

Question 4

Which nursing action will promote effective communication when caring for an older patient?
 
  1. Avoiding periods of silence while communicating
  2. Asking for clarification if the content is not understandable
  3. Speaking loudly because most older patients are hard of hearing
  4. Changing the subject if the nurse begins to feel emotional about a subject

Question 5

A 62-year-old former professional football player is in the hospital for a total knee replacement as a result of osteoarthritis.
 
  In discussing the disease with the patient during preoperative teaching, you may consider the incorporation of the error theory of aging to help the client understand how the disease has affected him. The specific theory that applies in this case is
  A) cross-link theory.
  B) somatic DNA damage theory.
  C) free radical theory.
  D) wear and tear theory.

Question 6

The triage nurse in the emergency department (ED) is assessing a patient who presents complaining of pain and swelling in her right lower leg beginning last night along with fever, chills, and sweating.
 
  The patient states that she hit her leg on the car door 4 or 5 days ago, and it has been sore ever since. The patient has a history of chronic venous insufficiency. The nurse should suspect that this patient might have:
  A) Thrombocytopenia
  B) Arterial insufficiency
  C) Cellulitis
  D) Phlebothrombosis

Question 7

While making rounds on the unit, you find a 90-year-old client sitting in his chair looking out the window. He seems sad and depressed and talks about how his health has declined over the years.
 
  He was planning to do a lot of things after his retirement and now, with his recent surgery, he feels he cannot do anything. You respond to him by helping him to understand that these changes are often a challenge for the elderly with which to cope and adapt in order to age successfully. This response incorporates what type of aging theory?
  A) biological
  B) psychological
  C) sociological
  D) spiritual