A 65-year-old client with a long-standing history of chronic obstructive pulmonary disease (COPD) was placed recently on Coumadin after experiencing atrial fibrillation. Upon discharge from the hospital,
which of the following statements by the client indicates a need for further teaching?
A) I will continue to use smokeless tobacco since it's a lot better than smoking.
B) I will avoid using over-the-counter antihistamines since they can dry my mucosal secretions.
C) I will watch my intake of dark green leafy vegetables since they may impact the effects of Coumadin.
D) I will not take any herbal preparations without my health care provider's knowledge.
Question 2A nurse assesses an older adult's overall respiratory function. Which of the following interview questions would be most appropriate?
A) Would you be interested in finding out more about environmental smoke?
B) Did either of your parents experience lung diseases?
C) Have you ever worked in a job where you were exposed to dust, fumes, smoke, or other pollutants?
D) What do you do to actively maintain your respiratory health?
Question 3A nurse provides education to an 82-year-old woman with postprandial hypotension. Which of the following interventions should be included? (Select all that apply.)
A) Avoid sitting still for prolonged periods.
B) Drink eight glasses of non-caffeinated beverages daily.
C) Eat regularly scheduled meals with breakfast as the largest.
D) Engage in regular, but not excessive, exercise.
E) Limit alcohol consumption to one drink per evening.
Question 4A nurse educates an older adult recently diagnosed with hypertension. Which of the following teaching points should the nurse include? (Select all that apply.)
A) Avoid home blood pressure monitoring.
B) Increase the daily intake of grains to 8 ounces per day.
C) Read labels and limit sodium to 1,500 g/day.
D) Walk daily for 30 minutes a day 5 of the 7 days.
E) If your blood pressure is higher than 130/80 notify the primary health care provider.
Question 5A nurse identifies clients who are at risk for modifiable risk factors for cardiovascular disease. Which of the following clients should the nurse prioritize as having modifiable cardiovascular functional consequences?
A) A 54-year-old admitted to the hospital with hepatitis A
B) A 72-year-old after her second myocardial infarction.
C) A 86-year-old obese woman who has type 2 diabetes
D) A 94-year-old with a strong family history of myocardial infarctions at an early age
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