An older patient's BUN is 28 mg/dL and creatinine is 0.6 mg/dL. How does the nurse interpret these findings?
a. Normal for all age groups
b. Normal for older adults
c. High for all age groups
d. Low for older adults
Question 2An 80-year-old patient has nausea and vomiting related to a gastrointestinal disorder. The nursing intervention most likely to help the patient is to
a. offer sips of soda every 15 minutes until more is tolerated.
b. encourage the patient to lie in a prone po-sition while nauseated.
c. encourage the intake of high-calorie foods such as milkshakes.
d. keep the patient on a nothing-by-mouth (NPO) order until the nausea subsides.
Question 3A dying patient is being cared for at home. The family relates to the hospice nurse that they are distressed that the patient no longer wants favorite food items. What response by the nurse is best?
a. Dying people don't usually want to eat.
b. Your loved one won't starve to death.
c. Why do you insist of trying to feed her?
d. Is there another way you can show car-ing?
Question 4An 80-year-old patient is concerned about contracting pneumoni
a. The nurse educates her that the key to prevention is:
a. early recognition of the symptoms.
b. being vaccinated per government guide-lines
c. minimizing contact with the public during the winter months.
d. supplementing one's daily diet with vari-ous vitamin C sources.
Question 5An older patient is upset with a blood pressure reading of 180/78 mmHg. What response by the nurse is best?
a. It looks like you need blood pressure medicine now.
b. Most people get hypertension when they get older.
c. With age, blood vessels stiffen, raising blood pressure.
d. Don't worry, there are lots of good me-dications for this.
Question 6A patient has heart failure and takes spironolactone (aldactone). What diet selection from the menu shows that the patient needs more education?
a. A low-fat chicken salad sandwich
b. Salt-free vegetable soup
c. Broiled fish with lemon
d. Salt substitute and pepper
Question 7A 68-year-old man with a history of alcohol abuse is admitted to the acute care facility for reports of abdominal pain. Based on your understanding of alcohol withdrawal, the nurse knows that if patient is currently abusing alcohol, he will most likely
a. experience delirium tremors within 4 hours of hospitalization.
b. develop withdrawal symptoms 48 to 72 hours after the last intake of alcohol.
c. receive 1 ounce of alcohol every 4 hours while awake.
d. be prescribed oxazepam (Serax).
Question 8A 76-year-old patient has been recently diagnosed with cardiac valvular disease. The nurse assesses the patient and recognizes that the medical diagnosis is supported by
a. cyanotic fingertips.
b. weight loss of 10 pounds in 3 months.
c. angina pain.
d. shortness of breath with activity.
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