A nurse is working with an older adult who is at risk for malnutrition. Which of the following interventions is the most appropriate?
- A. Administer high-calorie supplements.
- B. Encourage intake of a variety of foods rich in vitamins and minerals.
- C. Restrict caloric intake to prevent weight gain.
- D. Focus on protein supplements exclusively.
Correct Answer: B
Rationale: A balanced diet with a variety of foods helps ensure adequate nutrition, including vitamins and minerals, in older adults.
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A patient calls the nurse practitioner and states that he missed his morning daily dose of warfarin, 5 mg, yesterday and today. The nurse practitioner instructs the patient to:
- A. Wait until tomorrow and resume daily dosing of warfarin 5 mg
- B. Take warfarin 10 mg now
- C. Take warfarin 5 mg now, warfarin 5 mg at 5 pm today, and resume the daily warfarin 5 mg dose in the morning as scheduled
- D. Take warfarin 5 mg now and resume the warfarin 5 mg daily dose in the morning as scheduled
Correct Answer: D
Rationale: The patient should resume the usual warfarin dose and avoid doubling it.
Which of the following is true about tolterodine?
- A. It should be avoided in men with prostatic hypertrophy.
- B. It increases the risk of constipation compared with oral oxybutynin.
- C. It acts by ablating detrusor spasms.
- D. It has greater risk of adverse effects with its twice-daily formulation.
Correct Answer: C
Rationale: Tolterodine is an anticholinergic that reduces detrusor spasms to alleviate symptoms of overactive bladder.
Which of the following is a typical sign of diabetic ketoacidosis (DKA)?
- A. Excessive urination
- B. Ketone bodies in the urine
- C. High blood pressure
- D. Slow heart rate
Correct Answer: B
Rationale: Diabetic ketoacidosis often results in the presence of ketone bodies in the urine, along with hyperglycemia.
A component of the mental health assessment includes:
- A. Sense of self-worth
- B. Global assessment of functioning
- C. Intelligence quotient level
- D. History of suicide attempts
Correct Answer: B
Rationale: The global assessment of functioning (GAF) evaluates overall mental health status and functioning.
Rapid Human Immunodeficiency virus (HIV) testing would be appropriate for a patient with complaints of:
- A. Painful bowel movement, anal itching, and painful or swollen testicles or abnormal menstrual bleeding
- B. Painful urination, dyspareunia, and vaginal or penile discharge
- C. Fever, headache, and lymphadenopathy
- D. None of the above
Correct Answer: C
Rationale: Acute HIV symptoms may include fever, headache, sore throat, and lymphadenopathy.