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Before giving a beta-adrenergic blocker glaucoma agent, you would notify the physician if the client discloses a history of what condition?
- A. Hypertension
- B. Tachycardia
- C. Rheumatoid arthritis
- D. Bradycardia
Correct Answer: D
Rationale: Beta-adrenergic blockers can exacerbate bradycardia, so the physician should be notified before administration.
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Your patient is often fatigued as a result of having anemia. She asks you why she is fatigued. You respond by saying
- A. Destruction (hemolysis) of the red blood cells.
- B. Paleness (pallor) of the skin.
- C. Lack of nutritional intake of essential nutrients, such as iron or B12.
- D. Decreased oxygen-carrying capability of the blood.
Correct Answer: D
Rationale: Anemia reduces the blood's ability to carry oxygen, leading to fatigue.
A hospitalized Native American patient tells the nurse that later in the day a medicine man from his tribe is coming to perform a healing ceremony to return his world to balance. What should the nurse recognize about this situation?
- A. The patient does not adhere to an organized,formal religion.
- B. The patient’s spiritual needs may be met by traditional rituals.
- C. The patient’s spiritual needs may be met by traditional rituals.
- D. The patient may be putting his health in jeopardy by relying on rituals.
Correct Answer: B
Rationale: Traditional rituals such as those performed by a medicine man can meet the spiritual needs of Native American patients. This approach respects their cultural beliefs without undermining conventional medical treatment.
Treatment of the patient with appendicitis includes
- A. Transfusion to replace blood loss.
- B. Bowel preparation for cleansing.
- C. Surgical removal of appendix.
- D. Medications to lower pH within stomach.
Correct Answer: C
Rationale: Surgical removal of the appendix is the definitive treatment for appendicitis.
Seven tasks required for daily living with chronic illness have been identified. From Table 5-4, select at least one of these tasks that would specifically apply to the following common chronic conditions in older adults.
- A. Diabetes mellitus
- B. Visual impairment
- C. Heart disease
- D. Hearing impairment
Correct Answer: A
Rationale: Each chronic condition requires specific daily living tasks: Diabetes involves monitoring blood sugar; visual impairment may require adaptive techniques; heart disease necessitates lifestyle modifications; hearing impairment might involve using assistive devices.
What is the purpose and advantage of methadone maintenance therapy?
- A. Increased alertness
- B. Lower immune response
- C. Faster metabolism
- D. Enhanced digestion
Correct Answer: C
Rationale: The correct answer is C because it is the most appropriate response based on physiological and medical principles.