The patient is a newly diagnosed diabetic. Until he has his diabetes under control, which test will ...

The patient is a newly diagnosed diabetic. Until he has his diabetes under control, which test will furnish valuable immediate feedback information?
 
  a. BS
  b. HgbA1c
  c. OGTT
  d. Clinitest

Question 2

Cancer is not a disease of only the elderly. Some cancers, however, are more prevalent in old age. What factor may explain one of the relationships between cancer and age?
 
  A) Prolonged exposure to carcinogens
  B) Age-related weight differences
  C) Increased T-cell activity with age
  D) Alterations in BRCA1 and BRCA2 genes

Question 3

Which patient on a geriatric medicine unit would the nurse recognize as being most prone to sleep problems?
 
  A) An obese female patient receiving IV antibiotics for the treatment of a urinary tract infection
  B) A 74-year-old female receiving transfusions of packed red blood cells for an upper GI bleed
  C) A 78-year-old male recovering from an ischemic stroke and has skin breakdown on the coccyx
  D) A male patient admitted for exacerbation of chronic obstructive pulmonary disease (COPD) with a history of angina

Question 4

When counseling patients, which strategy should a nurse identify as most likely to help elderly men avoid prostate cancer?
 
  A) Cooking meat at high temperatures
  B) Avoiding food additives
  C) Maintaining weight within an ideal range
  D) Avoiding tobacco smoke

Question 5

You have begun the infusion of a patient's first dose of docetaxel (Taxotere) that has been ordered for the treatment of breast cancer.
 
  The patient's vital signs and level of consciousness were within normal limits prior to administration but shortly after beginning the infusion, the patient has complained of sudden anxiety and shortness of breath. As well, the patient's face has become visibly flushed. What actions should you perform next?
  A) Attempt to calm the patient and then document the event.
  B) Stop the infusion and protect the patient's airway.
  C) Slow the infusion rate and reposition the patient in a supine position.
  D) Administer a dose of diphenhydramine and assess her orientation.

Question 6

An older patient complains of overwhelming daytime fatigue, which the spouse attributes to loud snoring and erratic breathing patterns during the night. Which health problem should the nurse suspect as causing this patient's fatigue?
 
  A) Insomnia
  B) Central sleep apnea
  C) Nocturnal myoclonus
  D) Obstructive sleep apnea

Question 7

You are an oncology nurse who has reconstituted a patient's scheduled chemotherapeutic drug. What action should you perform prior to administering this drug?
 
  A) Aspirate 5 to 10 mL of blood from the patient's IV access device.
  B) Teach the patient about the pharmacodynamics of the drug.
  C) Administer a prophylactic antibiotic as ordered.
  D) Have a colleague confirm the chemotherapy dose.

Question 8

The amount of hormone released by any gland is controlled by
 
  a. a negative feedback system.
  b. a positive feedback system.
  c. exogenous stimuli.
  d. the nervous system.

Question 9

Recognizing the high incidence of breast cancer among older adult women, a public health nurse has included the topic in a health promotion teaching session at a senior's center.
 
  What should the nurse tell the assembled women about their risk of developing breast cancer? A) Stopping your hormone replacement therapy can greatly reduce your chance of developing breast cancer..
  B) The substances that you were exposed to during your childbearing years will largely determine your future risks of breast cancer..
  C) Breast cancer appears to be heavily influenced by heredity..
  D) Women who had their children very early in life appear to have an increased risk of breast cancer..