An older adult patient who has experienced a left knee replacement asks the nurse, When will I be back to normal? The nurse responds that
a. What did the surgeon tell you about function after the surgery?
b. Normal means different things to differ-ent people.
c. You should be back to normal after 6 to 8 weeks.
d. Surgery will improve your mobility but I'm not sure about being normal.
Question 2A nurse is preparing to administer metoprolol (Toprol) to an older male patient. What action by the nurse is best regarding endocrine disorders?
a. Administer the medication as ordered.
b. Check the patient's ID using two sources.
c. Say, Many men experience ED with this drug.
d. Tell the patient to discuss the side effects with his provider.
Question 3An older adult recovering from a myorcardial infarction (MI) has been taking subcutaneous heparin but is now to receive oral warfarin (Coumadin). The nurse prepares to teach the patient which topics? (Select all that apply.)
a. Administration of both medications for up to 5 days
b. Need to use a soft bristle toothbrush
c. Use of atropine as an antidote for exces-sive bleeding
d. Need to continue drawing partial throm-boplastin times
e. Need to drink at least eight cups of fluids daily
Question 4A 74-year-old adult is experiencing dumping syndrome after gastric resection surgery. The nurse caring for the patient instructs the patient to
a. stop smoking.
b. abstain from beverages that contain caffeine.
c. eat three low-carbohydrate meals daily.
d. drink only between meals.
Question 5The nurse must be able to distinguish between alcohol intoxication and alcohol withdrawal to intervene appropriately. The nurse suspects alcohol intoxication when the patient does which of the following? (Select all that apply.)
a. Slurs his speech when answering questions
b. Has difficulty remembering his address
c. Reports seeing snakes in the corner of the room
d. Documents his blood pressure as 168/90
e. Experiences difficulty when walking to the bathroom
Question 6When caring for older adults, the nurse expects to encounter the normal urinary age-related outcome of
a. urinary incontinence.
b. low-grade bladder infection.
c. nocturia.
d. urinary residual volume.
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