To prevent lipodystrophy, the nurse should administer insulin
a. at room temperature.
b. at body temperature.
c. straight from the refrigerator.
d. at any convenient temperature.
Question 2A patient who is cognitively impaired is demonstrating signs of being in pain. How should the nurse assess this patient's pain level?
A) Ask the patient to numerically rate the pain
B) Observe the patient often over the next several hours
C) Provide the patient with a visual analog scale to gauge pain
D) Go through the McGill Pain Questionnaire with the patient
Question 3An older patient is experiencing nociceptive pain in the shoulder. For which potential consequences of debilitating pain should the nurse assess in the patient? (Select all that apply.)
A) Anemia
B) Dementia
C) Depression
D) Decreased oral intake
E) Immobility resulting in skin breakdown
Question 4Which one of the following residents of a long-term care facility is most likely exhibiting signs and symptoms of depression?
A) Mrs. L, age 79, who has withdrawn from her regular bridge games and no longer returns calls to her friends.
B) Mr. U, age 76, whose neighbors have stated that he has become progressively more forgetful in the last several weeks.
C) Ms. K, age 73, who has visited her primary care physician with complaints of palpitations and labored breathing accompanied by feelings of doom.
D) Mrs. D, age 82, who is frequently tearful following the death of her husband 4 days prior.
Question 5A patient with a diagnosis of cellulitis was experiencing pain at her infection site and requested a breakthrough dose of morphine.
The nurse administered the patient's ordered dose of 5 mg PO 15 minutes ago, and the patient is now asking to speak to his health care provider because he has not experienced relief from his pain. How should the nurse best understand this patient's complaint?
A) The patient's pain is being exacerbated by anxiety.
B) There has been insufficient time for the onset of the drug's therapeutic effect.
C) The patient likely requires subcutaneous or IV administration of morphine.
D) An NSAID should be administered to potentiate the effect of the opioid.
Question 6Which one of the following is an appropriate principle that the nurse may use in guiding the care of mental health problems in elders?
A) Strengthening the individual's capacity to manage the condition by promoting health.
B) Eliminating the limitations imposed by the condition by doing everything possible for the individual.
C) Challenging elderly persons by immersing them in new and unfamiliar situations that will stimulate their mental functioning.
D) Insisting that elder persons do not spend time by themselves.
Question 7A 47-year-old patient with hypothyroidism is being given discharge instructions that should include
a. taking his medication whenever symptoms cause discomfort.
b. decreasing fluid and fiber intake.
c. consuming foods rich in iron.
d. seeing his physician regularly for follow-up care.
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