Acetaminophen (Tylenol) is prescribed for a 70-year-old with chronic pain. When the patient reports to the nurse that the maximum daily dose of medication does not control the pain, the nurse responds
a. Breakthrough pain can be managed with the addition of another analgesic.
b. Transcutaneous electrical nerve stimula-tion (TENS) is often helpful.
c. It sounds as though you have developed a tolerance for acetaminophen.
d. We will need to get your physician to prescribe another analgesic for you.
Question 2The nurse who works with older patients explains the age-related changes in sleep to a student. Which statements are consistent with this knowledge? (Select all that apply.)
a. The amount of time spent in REM sleep increases.
b. REM sleep is interrupted more by awa-kening at night.
c. People spend more time in the lightest stage of sleep.
d. Stages 3 and 4 of non-REM sleep are not as deep.
e. Changes in circadian rhythm can affect sleep.
Question 3A male patient takes carbamazepine (Tegretol). The spouse reports sexual dysfunction, but the patient adamantly denies he has this problem. What response by the nurse is best?
a. Telling him, You need to think of your wife's needs too.
b. Telling him this is common and can be discussed if wanted.
c. Questioning the patient again about sexual functioning
d. Telling the doctor to change the patient's prescription
Question 4Which statement, if made by an older Caucasian adult man, indicates the need for further teaching about prostate cancer and its prevention?
a. Digital rectal examinations aren't needed for screening.
b. I should discuss having a yearly PSA test.
c. Prostate cancer can look a lot like an en-larged prostate.
d. I am not in a high-risk category for pros-tate cancer.
Question 5When assessing a patient's report of experiencing problems sleeping, the nurse gathers data related to which of the following? (Select all that apply.)
a. The patient has difficulty falling asleep.
b. The patient wakes up frequently during the night.
c. The patient finds it difficult to stay asleep.
d. The patient experiences vivid dreams while sleeping.
e. The patient has taken sleeping medication in the past.
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