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tmunk tmunk
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Posts: 316
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6 years ago
A patient is receiving propranolol (Inderal) for hypertension. Which outcome is the best indicator of goal success when considering the drug's potential effect on the patient's quality of life?
 
  a. The patient verbalizes the importance of moderate exercise.
  b. The patient experiences no injuries as a result of dizziness.
  c. The patient's blood pressure stays within normal limits.
  d. The patient describes symptoms indicative of an adverse drug reaction.

Question 2

A patient is receiving chemotherapy to treat cancer. What instructions does the nurse provide the patient and family to reduce the chance of infection? (Select all that apply.)
 
  a. Take a full bath everyday if possible.
  b. If you can't bathe, perform pericare.
  c. Avoid large crowds and ill people.
  d. You have to give away your pets.
  e. Eat high-calorie, high-protein food if able.

Question 3

The nurse explains to an older patient that the assessment of her thyroid health will require both a physical examination as well as laboratory test because
 
  a. thyroid studies are less accurate in older adults.
  b. symptoms are similar to those caused by various infections.
  c. thyroid problems can be present without overt symptoms.
  d. T3 levels are normally increased during aging.

Question 4

When administering Lopressor to an older adult patient with hypertension, the nurse is careful to have the patient's care plan include
 
  a. frequent assessment for dizziness or syn-cope.
  b. education of the signs and symptoms of thromboembolism.
  c. regular evaluation of the patient's muscle strength.
  d. regularly scheduled serum potassium le-vels.

Question 5

A home health care nurse is conducting a functional assessment on an older woman who lives alone. What assessment question is likely to get the best information?
 
  a. How do you manage all your medications?
  b. Who shops and cleans your house for you?
  c. Can you show me how you prepare a meal?
  d. What parts of your body can't you wash?

Question 6

The nurse is admitting a patient to the hospital who has cancer and a neutrophil count of 430/mm3 . What action by the nurse is best?
 
  a. Place the patient in a private room.
  b. Use good handwashing with all contact.
  c. Place the patient in protective precautions.
  d. Initiate contact precautions.
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Replies
wrote...
6 years ago
Answer to #1

B
The main concerns with the use of antihypertensive medications in older adults are an increased risk of orthostatic hypotension and dehydration. Exercising and maintaining the blood pressure within normal limits are treatment goals but do not impact quality of life like dizziness or faint-ing. Having an adverse drug reaction would not improve quality of life.

Answer to #2

A, B, C, E
Patients who are immune-suppressed should perform meticulous hygiene, stay away from expo-sure to illness, and eat nutritiously to help protect them from infection. Giving away pets is not required, although a family member may need to take over pet care duties.

Answer to #3

C
The presence of thyroid disease in older adults can be difficult to determine and can be present without overt symptoms. Classic signs of thyroid disorders seen in younger adults are often ab-sent or clouded because of concomitant illnesses in older adults. The other options are not correct statements.

Answer to #4

A
Dizziness is an adverse reaction to beta-blockers such as Lopressor.

Answer to #5

C
Older patients may downplay or deny functional limitations, so the nurse gets more accurate data asking what the patient is able to do, rather than what she or he is not able to do.

Answer to #6

C
A patient whose neutrophil count is below 500/mm3 is at extreme risk of infection and should be placed on protective isolation. A private room and good handwashing are also necessary, but the best intervention is isolation.
tmunk Author
wrote...
6 years ago
SoOoOoOo very smart
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