Nokea
Before his discharge the nurse should assess Mr. Hall's home situation to determine possible hazards. Of the following items in Mr. Hall's home, which poses the greatest danger to him while he is still on crutches?
- A. Stairs
- B. Doors
- C. Scatter rugs
- D. Easy chairs
Correct Answer: C
Rationale: Scatter rugs can cause tripping hazards.
You may also like to solve these questions
The nurse recognizes what as the major problem in the management of RA in the older adult?
- A. RA is usually more severe in older adults.
- B. Older patients are not as likely to comply with treatment regimens.
- C. Drug interactions and toxicity are more likely to occur with multidrug therapy.
- D. Laboratory and other diagnostic tests are not effective in identifying RA in older adults.
Correct Answer: C
Rationale: Polypharmacy increases risks in older adults.
Benzodiazepine medication is being used to help manage this patient's behavior?
- A. Sertraline (Zoloft)
- B. Donepezil (Aricept)
- C. Lorazepam (Ativan)
- D. Risperidone (Risperdal)
Correct Answer: C
Rationale: Lorazepam is a benzodiazepine used for agitation
While obtaining a patient's medical history, you find that the patient is taking levodopa/carbidopa (Sinemet) for Parkinson's disease. Which of the following information in the patient's health history alerts you to take further action?
- A. Bradycardia
- B. Pancreatic disease
- C. Glaucoma
- D. Impaired hearing
Correct Answer: C
Rationale: The combination of levodopa and carbidopa, both dopamine-replacement drugs, can cause changes in intraocular pressure. Providers should not prescribe this drug combination for patients who have glaucoma, and in this case, the patient's drug therapy requires adjustment. Pancreatic disorders are not a contraindication for levodopa/carbidopa; instead, caution is required when using it with patients who have peptic ulcer disease. Hearing impairment is not a contraindication for levodopa/carbidopa; instead, it can cause a variety of vision disturbances.
To which patient would you assign the nurse pulled from the PACU for the day?
- A. A 35-year-old patient with osteomyelitis who needs teaching prior to hyperbaric oxygen therapy.
- B. A 62-year-old patient with osteomalacia who is being discharged to a long-term care facility.
- C. A 68-year-old patient with osteoporosis and a new orthotic device whose knowledge of use of this device must be assessed.
- D. A 72-year-old patient with Paget's disease who has just returned from surgery for total knee replacement.
Correct Answer: D
Rationale: This patient requires immediate post-surgical care, which aligns with the skills of a nurse from the PACU.
The presence of Bell's palsy suggests damage to the following cranial nerve:
- A. facial
- B. optic
- C. olfactory
- D. vestibular
Correct Answer: A
Rationale: Facial nerve is the correct answer because Bell's palsy is a condition characterized by the sudden weakness or paralysis of the facial muscles on one side of the face due to inflammation or damage to the facial nerve (cranial nerve VII). This results in symptoms such as drooping of the mouth, inability to close the eye, and loss of facial expression.