An older adult patient is experiencing symptoms commonly associated with hyperglycemi
a. Which laboratory test is most reliable for detecting hyperglycemia in older adults?
a. A random serum glucose
b. An oral glucose tolerance test
c. An early morning urine test for glucose
d. A 24-hour urine glucose test
Question 2An older patient is hospitalized for the first time. After giving a dose of hydromorphone (Dilaudid), what assessment takes priority?
a. Pain level
b. Nausea
c. Urinary retention
d. Respiratory rate
Question 3The daughter of an older adult woman who had a colostomy as a result of colon cancer tells the nurse, Mom seems to be so withdrawn; she has stopped going out with her friends and I'm re-ally concerned
The most relevant nursing diagnosis for the patient's reaction is:
a. Ineffective individual coping.
b. Dysfunctional grieving.
c. Social isolation.
d. Hopelessness.
Question 4An older adult man has been the primary caregiver for his chronically ill wife for the past 10 years. When his wife dies, the nurse prepares the family for the likely possibility that their father will express
a. guilt that he is alive while she is dead.
b. deep despair for his loss.
c. personal relief that she has died.
d. concern that he could have cared for her better.
Question 5On assessing the laboratory data of an older adult patient, the nurse notes the serum potassium level is 5.3 mEq/L. Based on this information, the nurse
a. asks if the patient has been using a non-steroidal antiinflammatory drug (NSAID).
b. determines if the patient is receiving a di-uretic that promotes potassium loss.
c. suggests several potassium-rich foods to supplement dietary potassium intake.
d. monitors the patient's urinary output for possible fluid retention.
Question 6The nurse caring for an older adult patient engages in appropriate cancer-related health screening when which of the following occur? (Select all that apply.)
a. Preparing a patient for a lung biopsy
b. Collecting a 24-hour urine specimen
c. Assisting a patient schedule a mammo-gram
d. Drawing blood for a prostate sensitive an-tigen (PSA) test
e. Keeping a patient NPO for a bladder bi-opsy
Question 7A patient has just had surgery. What pain control strategy is best?
a. Administer prn medications when re-quested.
b. Give pain medications around the clock at first.
c. Start with nonopioids then progress to opioids.
d. Ask the patient his or her preference for medication.
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