An older patient has been prescribed a potassium-sparing diuretic and a beta-blocker for hypertension. Which action should be a priority for the nurse?
A) Monitor the patient for constipation
B) Closely monitor the patient's electrolyte levels
C) Ensure the patient does not change position quickly to prevent a fall
D) Assess the patient for changes in level of consciousness and cognition
Question 2Part of the job responsibility of a nurse who works for a team of physicians is to provide documentation about elderly patients who may need nursing home care. Which of the following patients meets the criteria for being classified as frail?
A) Mrs. A is inactive, walks slowly, and has many colds.
B) Mrs. B has many colds, tires easily, and has lost 15 pounds in the past year.
C) Mr. C has lost 20 pounds in the past year, cannot grip utensils, and is inactive.
D) Mr. D has lost 20 pounds in the past year, is inactive, and has many colds.
Question 3A 32-year-old construction worker has suffered a penetrating wound to his right eye. The best intervention for anyone to perform at the scene while waiting to be transported to the hospital is to
a. gently remove the object.
b. wipe away the blood and tears.
c. cover both eyes with a paper cup and tape.
d. do nothing; rush to the hospital.
Question 4The nurse caring for residents in a long-term care facility administers numerous antidepressant medications each day. For which residents should the nurse investigate a possible change in treatment?
A) A 90-year-old resident prescribed a monoamine oxidase inhibitor (MAOI) since the death of his wife
B) An 81-year-old resident who is responding to cognitive therapy for the treatment of her grief and depression
C) An 89-year-old resident who takes citalopram, a selective serotonin reuptake inhibitor, for the treatment of depression
D) A 91-year-old resident who has been taking a tricyclic antidepressant since the onset of his physical decline several years prior
Question 5A medical patient developed a new onset of shortness of breath with pulse oximetry (POX) ranging between 70 and 75 and a respiratory rate of 30 to 35 breaths per minute.
The patient did not respond to oxygen therapy with nasal prongs and was fitted with a partial rebreathing mask by the respiratory therapist. When maintaining this patient's oxygen delivery system, the nurse should:
A) Ensure that the reservoir bag deflates during inhalation and reinflates during exhalation
B) Teach the patient to breathe through his or her nose whenever possible
C) Ensure that the reservoir bag remains inflated at all times
D) Turn off the oxygen supply for 5 minutes each hour in order to stimulate the patient's respiratory drive
Question 6The mobility, activity tolerance, and overall quality of life of a 79-year-old woman are severely diminished by her angina. The woman now lives with her daughter and son-in-law, both of whom are unsure how best to foster her well-being.
Which of the following teaching points of the nurse is most appropriate? A) Doing as much as you and your husband can for your mother will allow her to dedicate her energies to recovery..
B) The most beneficial approach for your mother is to treat her exactly as you did before she developed this disability..
C) It will be helpful for you both to occasionally remind your mother about the areas of her health and abilities that remain intact..
D) Try to maximize the amount of self-care that your mother performs and still treat her like a responsible person..
Question 7An older female patient with a history of deep vein thrombosis is prescribed daily anticoagulant therapy. Which foods should the nurse instruct the patient to monitor to ensure the effectiveness of the medication regimen?
A) Foods high in saturated fat such as bacon and butter
B) Foods high in salt and nitrates such as processed meat
C) Foods high in complex carbohydrates such as bread and rice
D) Foods high in vitamin K such as asparagus and green leafy vegetables
Question 8Most patients with Mnire's disease are treated with
a. surgery.
b. diuretics.
c. hearing aids.
d. analgesics.
Quick Reply
