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- When administering beta blockers, the nurse will follow which guideline for administration and monitoring?a) The drug may be discontinued at any time.b) Postural hypotension rarely occurs with this drug.c) Tapering off the medication is necessary to prevent rebound hypertension.d) The patient needs to stop taking the medication at once if he or she gains 3 to 4 pounds in a weekM.H. is an 80-year-old Caucasian female who is married and lives with her spouse. She presents to your office today with her spouse, feeling “coocoo, I just don’t feel right.” Currently she is taking rosuvastatin prescribed by her cardiologist for hyperlipidemia and a daily 325 mg aspirin. She drinks 3–6 hard liquor drinks a day, 3–4 times a week in the evening, and has a 65-year smoking habit, currently smoking two packs per day (ppd). She has no known allergies. Past surgical history includes hysterectomy for a benign fibroid. Family history of breast cancer in three sisters, Type 2 diabetes and CVA in one sister, cancer of unknown origin in one brother. All siblings and parents are deceased. Her husband reports that she is hard of hearing. He feels that it is due to cerumen build-up in her ears. She refuses to have the buildup removed. Her husband is also worried about her memory—states that she “just does not remember things like she used to. She keeps asking me the same questions…When giving intravenous quinolones, the nurse needs to keep in mind that these drugs may have serious interactions with which drugs?
- N.H. is a 76-year-old male admitted to the hospital through the emergency department. He fell outside his home. It appears that he may have sustained a fracture to his left hip. He has a history of type 2 diabetes mellitus and has a 40 pack-year smoking history that is now complicated by chronic obstructive pulmonary disease. Data Collected (use only those that apply) Complains of excruciating pain and tenderness in left hip Pain not relieved with morphine BP 166/94 mmHg Diaphoretic and pale skin Respiratory rate 36; crackles, expiratory wheeze X-ray of left hip reveals extracapsular fracture Hematocrit 30%; hemoglobin 15g/dL; WBC 15,000/uL Discussion Questions: Considering the nursing process, list in order the steps in transferring patient from bed to chair post operatively.What two imbalances is a patient at risk for when they have an exacerbation of IBD?Which of the following nursing interventions is appropriate for a patient with impaired mobility? a) Encouraging the patient to remain in bed at all times b) Assisting with range-of-motion exercises c) Restraining the patient to prevent falls d) Administering sedatives to keep the patient calm
- Consider the major changes that result from posttraumatic growth (PTG) experiences. What is the example of PTG you experienced personally or seen in others?A nurse is educating a patient with newly diagnosed type 2 diabetes mellitus about self-management of their condition. Which of the following pieces of advice is most critical for the nurse to convey to the patient to prevent acute complications?A) Inspect your feet daily for any cuts, blisters, or sores.B) Maintain a regular exercise routine, aiming for at least 150 minutes of moderate aerobic activity per week.C) Monitor your blood glucose levels at home using a glucometer.D) Make dietary changes to include a variety of fruits, vegetables, and whole grains.The nurse is caring for a client who has diabetes mellitus and is also diagnosed with hypertension. Which of the following medications on the patient’s medication administration record will cause the most concern? Question 71 options: a) ACE inhibitor b) Beta-blocker c) Calcium channel blocker d) Angiotensin receptor blocker
- An older adult female client has osteoporosis. In counseling the client about the best form of exercise, the nurse would recommend which of the following? Question 25 options: a) Cycling on a stationary bicyle b) Walking c) Jogging d) SwimmingA client with iron deficiency anemia is taking iron supplements. The nurse emphasizes to the client that the drug will have increased absorption if taken with: Question 6 options: a) Orange juice b) Food c) Milk d) Beta caroteneThe nurse is conducting health screening for osteoporosis. Which client is at greatest risk for developing this disorder? Question 21 options: a) A sedentary 65-year-old woman who smokes b) A 70-year-old man who consumes excess alcohol c) A 25-year-old woman who runs d) A 36-year-old man who has asthma