Based on Maslow's hierarchy of needs, when prioritizing a patient's plan of care, what would be the nurse's first priority?
A) Allowing the family to see a newly admitted patient
B) Ambulating the patient in the hallway
C) Administering pain medication
D) Teaching the patient to self-administer insulin
Question 2Which of the following factors common in older adults are most closely associated with the development of corneal ulcers?
A) Infections and stroke
B) Constipation and straining during defecation
C) Diabetes mellitus and peripheral vascular disease
D) Decreased percentage of water versus body weight and decreased renal function
Question 3The nurse teaches a 78-year-old about treatment for the management of recently diagnosed glaucoma. Which of the following self-cares should the nurse include in the prevention of complications?
A) Avoid reading or watching television in low-light conditions or for long periods of time.
B) Remain in a lying position as much as possible throughout the day.
C) Avoid stress, coughing, sneezing, or the Valsalva maneuver.
D) Use antihypertensive medications and diuretics with great caution.
Question 4Mrs. J's insurance company reimburses for a maximum of four physical therapy sessions annually. At age 62, Mrs. J is recovering slowly from hip surgery, and her nurse believes that additional sessions would enhance Mrs. J's self-care capacity.
Mrs. J cannot afford to pay for additional sessions. Which of the following is the nurse's major ethical concern?
A) Do I increase financial risks for health care institutions by insisting that nonreimbursed therapy be provided?
B) Is the insurance company reimbursing in a manner that threatens my patient's well-being?
C) Have meta-analyses shown that additional therapy sessions are cost-effective?
D) Am I in compliance with the integrity requirement of the Code of Ethics for Nurses of the American Nurses Association?
Question 5Many older adults suffer from conditions such as colonic diverticula, hiatal hernia, and ulcerations that can cause occult bleeding. Older adults with these conditions should be observed for
a. leukemia.
b. iron deficiency anemia.
c. sickle cell anemia.
d. polycythemia.
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