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NUR3262 CH 5 TEST WITH COMPLETE SOLUTION
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NUR3262 CH 5 TEST WITHCOMPLETE SOLUTION
When caring for an older patient with hypertension who has been
hospitalized after a transient
ischemic (TIA), which topic is the most important for the nurse to include in
the discharge
teaching? - A. Mechanism of action of anticoagulant therapy
b. Effect of atherosclerosis on cerebral blood vessels
c. Symptoms indicating that the patient should contact the health care
provider
d. Impact of the patient's family history on likelihood of developing a serious
stroke
ANS: C
One of the priority tasks for patients with chronic illnesses is to prevent and
manage a crisis.
The patient needs instruction on recognition of symptoms of hypertension
and TIA and
appropriate actions to take if these symptoms occur. The other information
may also be
included in patient teaching but is not as essential in the patient's
self-management of the
,illness.
The nurse performs a comprehensive assessment of an older patient who is
considering
admission to an assisted living facility. Which question is the most important
for the nurse to
ask? - A. "Have you had any recent infections?"
b. "How frequently do you see a doctor?"
c. "Do you have a history of heart disease?"
d. "Are you able to prepare your own meals?"
ANS: D
The patient's functional abilities, rather than the presence of an acute or
chronic illness, are
more useful in determining how well the patient might adapt to an assisted
living situation.
The other questions will also provide helpful information but are not as
useful in providing a
basis for determining patient needs or for developing interventions for the
older patient.
An alert older patient who takes multiple medications for chronic cardiac and
pulmonary
, diseases lives with a daughter who works during the day. During a clinic visit,
the patient tells
the nurse that she has a strained relationship with her daughter and does not
enjoy being alone
all day. In planning care for this patient, which problem should the nurse
consider as the
priority? - A. Risk for injury
b. Social isolation
c. Caregiver strain
d. Difficulty coping
ANS: A
The patient's age and multiple medications indicate a risk for injury caused
by interactions
between the multiple drugs being taken and a decreased drug metabolism
rate. Problems with
social isolation, caregiver strain, or difficulty coping are not physiologic
priorities. Drug-drug
interactions could cause the most harm to the patient and are therefore the
priority.
Which method should the nurse use to obtain a complete assessment of an
older patient? - A. Review the patient's health record for previous
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