The nurse is performing a pain assessment when the older adult patient reports pain in his left shoulder that radiates down into the forearm. The nurse immediately
a. recognizes that the patient is experiencing cardiac distress.
b. alerts the rapid response team to provide emergency care.
c. asks whether he has ever experienced this pain before.
d. questions the patient about additional re-lated symptoms.
Question 2The nurse is caring for an older patient who recently immigrated to the United States from Asi
a. To best address the patient's apparent resistance to the medical and nursing plan of care, the nurse:
a. discusses the patient's behavior with Asian staff members.
b. researches the patient's cultural views on health care.
c. requests a cultural consultation from social services.
d. asks family members to discuss the pa-tient's views on health care.
Question 3A patient has chronic, severe asthma and takes many medications during the day. The patient reports difficulty falling asleep at night. What medication does the nurse ask about the patient taking?
a. Barbiturates
b. Theophylline (Theo-24)
c. Furosemide (Lasix)
d. Haloperidol (Haldol)
Question 4The nurse caring for an older adult patient currently receiving traditional drug therapy for methicillin-resistant Staphylococcus aureus (MRSA) recognizes that the patient is at risk for de-veloping
a. Clostridium difficile infection.
b. vancomycin-resistant Enterococcus (VRE) infection.
c. autoimmune hepatitis.
d. systemic lupus erythematosus.
Question 5An older adult patient asks the nurse why so many of her friends are developing cancers. The nurse responds best when answering
a. Cancer cells generally develop as a result of prolonged exposure to external agents.
b. The longer we live the more exposure we have to environmental toxins.
c. Aberrant growth seems to be the risk factor in the older adult that is not well understood.
d. As we age, our cells are less able to re-gulate replication appropriately.
Question 6A patient is brought to the emergency department after falling while shoveling snow. The pa-tient's core temperature is 92?0F (33.3?0C). What rewarming measures does the nurse prepare to initiate?
a. Warm blankets
b. Warm heating lamps
c. Peritoneal dialysis
d. Warmed intravenous (IV) solutions
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