Nokea
In view of the fact that most older adults take at least six prescription drugs, what are four nursing interventions that can specifically help prevent problems caused by multiple drug use in older patients?
- A. Medication reconciliation
- B. Patient education regarding side effects
- C. Regular review of medication regimens
- D. Monitoring for drug interactions
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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Although acute pain is severe, why does a client with acute pain cope better with the discomfort in the later stages?
- A. Because the pain is negligible in the later stages.
- B. Because an increased dosage of analgesics is used in the later stages.
- C. Because the client’s perception of pain minimizes in the later stages.
- D. Because there is a reinforcing belief that the pain will resolve in time.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A 29-year-old client is scheduled for an arthrotomy of the right knee following a football injury. The client describes his state of health as excellent and states that he does not use any medication. In providing psychological support for the client during the preoperative period, the nurse should:
- A. teach coughing and deep breathing exercises.
- B. provide for spiritual care, if appropriate.
- C. perform a head to toe assessment including height and weight.
- D. administer preoperative medication as ordered.
Correct Answer: B
Rationale: Teaching coughing and deep breathing is a component of preoperative teaching, but it does not necessarily provide psychological support. Spiritual care, a component of psychological support, can reduce the client's fears and anxieties related to the surgical experience. Performing a physical assessment is part of the physical preparation for surgery, not the psychological preparation. Providing the preoperative medication is a part of the preparation immediately before surgery. While the medication will sedate and relax the client, it is not considered to be psychological support.
11. A patient who is receiving radiation therapy for breast cancer tells the nurse that she cannot verbalize her fears about her treatment. Which complementary or alternative therapy would be most beneficial for the nurse to teach this patient about at this time?
- A. Journaling
- B. Yoga therapy
- C. Herbal therapy
- D. Chiropractic therapy
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Tom presents with sudden difficulty breathing, tachypnea, tachycardia, and localized chest pain. The physician suspects a pulmonary embolism and would order what test?
- A. EKG.
- B. Helical CT scan.
- C. ECC.
- D. Vital capacity.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A patient's family does not know the patient's end-of-life care preferences, but assumes that they know what is best for the patient under the circumstances. This assumption reflects
- A. justice.
- B. paternalism.
- C. pragmatism.
- D. veracity.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.