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Aura193 Aura193
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Posts: 347
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6 years ago
An immunosuppressed older adult patient reports symptoms of fatigue, facial rash, intermittent low-grade fever, and painfully swollen finger joints. The nurse anticipates that diagnosis will be confirmed by
 
  a. the presence of subcutaneous nodules on the hands.
  b. a positive antinuclear antibody (ANA) blood serum test.
  c. a liver biopsy that confirms cirrhosis.
  d. the presence of bilateral ocular scleritis.

Question 2

The patient who recently had a radical prostatectomy has the nursing diagnosis of ineffective sexuality patterns. What assessment by the nurse best indicates that the goals for this diagnosis have been met?
 
  a. Patient states he can live without sex.
  b. Patient says that impotence is temporary.
  c. Patient states his needs are being met.
  d. Patient asks about medication for ED.

Question 3

A diabetic is struggling with the carbohydrate-controlled diet as a result of having a large extended family with many get-togethers. What action by the nurse is best?
 
  a. Remind the patient of the consequences of poor control of diabetes.
  b. Tell the patient that once a month he or she can eat as desired.
  c. Help the patient make priorities so some favorite foods can be eaten.
  d. Tell the patient to increase the insulin dose on get-together days.

Question 4

The student asks the nurse why ground beef and other ground meat products are more likely to be contaminated and cause food-borne illness. What response by the nurse is best?
 
  a. It's because they are handled more.
  b. They are from cheaper cuts of meat.
  c. They are not kept cold during shipping.
  d. They are made from leftover meats.

Question 5

The nurse is assessing patients diagnosed with chronic disease processes for the probability of hospitalization because of the exacerbation of related symptoms. The nurse recognizes that the patient with the highest probability is a(n)
 
  a. 72-year-old male with congestive heart failure (CHF).
  b. 82-year-old male with type 2 diabetes.
  c. 72-year-old female with chronic bronchi-tis.
  d. 82-year-old female with osteoporosis.

Question 6

The nurse is discussing pain control with an older patient who has been prescribed an opiate. When the patient expresses concerns about the diminishing effect that the medication has had on the pain, the nurse responds
 
  a. It appears that the dosage you take needs to be adjusted upward.
  b. We need to be concerned about you de-veloping a drug tolerance.
  c. This drug category is well known for its low ceiling effect.
  d. Opiate addiction is a concern when to-lerance occurs.

Question 7

What actions by the nursing staff in a long-term care facility display an awareness of resident rights? (Select all that apply.)
 
  a. Getting informed consent for the use of an antipsychotic medication
  b. Reminding the unhappy resident and fam-ily about grievance processes
  c. Ensuring that all residents are asked if they wish to vote in an election
  d. Giving residents information on the om-budsman's name and address
  e. Assessing residents for their ability to safely administer their medications
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wrote...
6 years ago
Answer to #1

B
The antinuclear antibody is one of the more specific tests for lupus; patients with lupus have a positive ANA test. The patient with an autoimmune disease is more susceptible to infection than others.

Answer to #2

C
Goals for this diagnosis are met when the patient is satisfied with means for sexual expression. The other options do not meet this criterion.

Answer to #3

C
Nurses working with patients who have dietary issues need to understand the social, emotional, cultural, and religious ties their patients have to food, or the interventions will not be successful. While normally maintaining a diabetic diet the patient can be assisted to prioritize foods that are must haves and determine how to work them into the diet.

Answer to #4

A
Ground meat products are handled more during processing, increasing the risk of being conta-minated with microbes that cause food-borne illnesses.

Answer to #5

A
Individuals with chronic conditions typically have repeated hospitalizations to treat exacerbations of their illness. The most common reasons for hospitalization in older patients are heart disease, cancer, pneumonia, and stroke. The 72-year-old with CHF is at highest risk.

Answer to #6

A
Tolerance is defined as the diminished effect of a drug while maintaining the same dosage over time. It is a characteristic of opiates when given over time. With opiates, some individuals might need higher and higher doses of a drug to maintain effectiveness. This should not be confused with addiction.

Answer to #7

A, B, C, E
Long-term care facilities are responsible for honoring the many rights of their residents, including setting up informed consent processes for side rails and chemical restraints, having a posted grievance policy and process, pursuing the residents' right to vote, assessing residents for the ability to safely administer their own medications, and posting information about the ombudsman program.
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