Mr. Calvin Green has smoked at least one pack of cigarettes a day for the past 59 years. He has been diagnosed with end-stage chronic obstructive pulmonary disease (COPD) and has been having symptoms of decreased oxygen perfusion.
He has been confused and very anxious during these periods. He claims that his oxygen tubing is clogged and not giving him the oxygen he needs. Which of the following self-care strategies would assist Mr. Green to be more comfortable?
a. Quitting smoking
b. Increasing the liter flow on the oxygen
c. Teaching him strategies to deal with anxiety and obstruction of air flow
d. Increasing his dosage of narcotic pain relievers
Question 2Al Granger, 75 years old, has a history of chronic alcohol abuse. Which of the following statements would best describe his physical status?
a. Compromised dietary intake and nutritional status
b. Inappropriate weight gain
c. Inability to participate in any physical exer-cise program
d. Intact cognition and problem-solving ability
Question 3Which of the following is not a serious side effect related to excessive laxative use?
a. Inhibited absorption of nutrients
b. Fluid and electrolyte imbalance
c. Atonic bowel with chronic constipation
d. Daily bowel movements
Question 4Jane Farmington, 72 years old, has been diagnosed with hypothyroidism and started on thyroid replacement therapy. What are the nursing considerations for an older adult who has been started on thyroid replacement therapy?
a. Schedule Mrs. Farmington for weekly blood glucose levels
b. Schedule Mrs. Farmington for weekly blood glucose levels, and encourage her to do daily self-blood glucose monitoring
c. Schedule Mrs. Farmington for a CBC and electrolyte level within 1 month, and teach her the signs and symptoms of infection
d. Schedule Mrs. Farmington for a drug blood level done in 4 weeks, and teach her how to monitor her heart rate
Question 5Melvin Wellington, 80 years old, is admitted with a severe exacerbation of congestive heart failure. He has 4+ pitting edema of both feet and ankles, moist crackles in the bases of both lungs, and marked shortness of breath.
Which of the following could contribute to worsening of his congestive heart failure?
a. Cold remedies containing aspirin (acetylsalicylic acid ASA)
b. Antacids
c. Alcohol
d. Laxatives
Question 6Which of the following is not part of the teaching plan for an older adult who has type 2 diabetes mellitus?
a. Need for regular eye examinations
b. Care of feet
c. Recognition of signs and symptoms of infection
d. Limitation of activity
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