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Tasha p Tasha p
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Posts: 319
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6 years ago
An older patient has identified stress as being the cause for not receiving adequate sleep and wants to do something to relax. Which activities should the nurse suggest to the patient? (Select all that apply.)
 
  A) Read
  B) Take a walk
  C) Needlework
  D) Listen to music
  E) Visit with friends

Question 2

What factors may be reasons that older people may have mental illness despite the advantages of experience? (Select all that apply.)
 
  A) Mental illness is to be expected in older adults as they become demented.
  B) More people survive to old age and may bring problems that they have had throughout their lifetime.
  C) Mental health is generally increased as a person ages.
  D) The many losses and challenges of late life may exceed the physical, emotional, and social resources of some persons and promote mental illness.

Question 3

Common early signs and symptoms of diabetic ketoacidosis include
 
  a. thirst and drowsiness.
  b. cold, clammy skin and anxiety.
  c. slow pulse and increased blood pressure.
  d. bulging of the eyeballs and carpopedal spasms.

Question 4

The nurse was considering melatonin supplements for an older patient with a sleep disturbance but realized this action would be contraindicated because of the patient's medications.
 
  Which medications interact with melatonin? (Select all that apply.)
  A) Warfarin
  B) Salicylates
  C) Antipsychotics
  D) Antidepressants
  E) Immunosuppressants

Question 5

A patient has type 1 diabetes (IDDM). The nurse is teaching her early signs and symptoms of insulin reaction, which include
 
  a. abdominal pain and nausea.
  b. dyspnea and pallor.
  c. flushing of the skin and headache.
  d. perspiration and a trembling sensation.

Question 6

A patient who is postoperative day 1 following a discectomy has lit his call light and requested a dose of hydromorphone, which he receives on a p.r.n. basis for breakthrough pain.
 
  What should the nurse first do in response to the patient's request?
  A) Assess the characteristics of the patient's pain.
  B) Draw up the prescribed dose of hydromorphone.
  C) Propose the use of nonpharmacologic interventions.
  D) Discuss the use of NSAIDs as an alternative to opioids.
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Replies
wrote...
6 years ago
Answer to #1

A, C, D
Feedback:
Activities to help with relaxation include reading, performing an activity in which to get absorbed such as needlework, and listening to music. Taking a walk and visiting with friends could increase stimulation and may not be relaxing to the patient.

Answer to #2

B, D
Feedback:
More people survive to old age, and any problems that they have had throughout their lifetimes may still be a part of their lives. The many losses and challenges of late life may exceed resources and promote mental illness. Older people do not necessarily become demented and mental illness is not to be expected. Mental health is not consistently increased by age.

Answer to #3

A
Diabetic ketoacidosis symptoms include dry mucous membranes and drowsiness leading to coma.

Answer to #4

A, C, D, E
Feedback:
Melatonin supplements interact with immunosuppressants, antidepressants, antipsychotics, and warfarin. Salicylates are not documented as interacting with melatonin supplements.

Answer to #5

D
The patient should be instructed to notify a member of the nursing staff if any signs of hypoglycemic (low insulin) reaction occur: excessive perspiration or trembling.

Answer to #6

A
Tasha p. Author
wrote...
6 years ago
Thank you Jesus, my teacher is bad at explaining
wrote...
6 years ago
Praise the LORD ha ha No worries
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