CARE OF OLDER ADULT SESSION 13
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NAME *
MARICON MORALES-OLANDRES
SECTION *
FC1-BSN3-1A
FC1-BSN3-1C
1. Which action will the nurse in the hypertension clinic take in order to * 1 point
obtain an accurate baseline
blood pressure (BP) for a new patient?
A. Obtain a BP reading in each arm and average the results.
B. Deflate the BP cuff at a rate of 5 to 10 mm Hg per second.
C. Have the patient sit in a chair with the feet flat on the floor.
D. Assist the patient to the supine position for BP measurements.
2. After the nurse teaches the patient with stage 1 hypertension about diet * 1 point
modifications that should
be implemented, which diet choice indicates that the teaching has been
effective?
A. The patient avoids eating nuts or nut butters.
B. The patient restricts intake of dietary protein.
C. The patient has only one cup of coffee in the morning.
D. The patient has a glass of low-fat milk with each meal.
3. A patient with a history of hypertension treated with a diuretic and an * 1 point
angiotensin-converting
enzyme (ACE) inhibitor arrives in the emergency department complaining of
a severe headache and
has a BP of 240/118 mm Hg. Which question should the nurse ask first?
a. Did you take any acetaminophen (Tylenol) today?
b. Do you have any recent stressful events in your life?
c. Have you been consistently taking your medications?
d. Have you recently taken any antihistamine medications?
4. A patient comes to the emergency department immediately after * 1 point
experiencing numbness of the
face and an inability to speak, but while the patient awaits examination, the
symptoms disappear and
the patient request discharge. The nurse stresses that it is important for the
patient to be evaluated
primarily because
A. the patient has probably experienced an asymptomatic lacunar stroke
B. the symptoms are likely to return and progress to worsening neurologic deficit in
the next 24 hours
C. neurologic deficits that are transient occur most often as a result of small
hemorrhages that clot off
D. the patient has probably experienced a transient ischemic attack (TIA), which is a
sign of
progressive cerebral vascular disease
5. The priority intervention in the emergency department for the patient with * 1 point
a stroke is
A. intravenous fluid replacement
B. administration of osmotic diuretics to reduce cerebral edema
C. initiation of hypothermia to decrease the oxygen needs of the brain
D. maintenance of respiratory function with a patent airway and oxygen
administration
6. Four days following a stroke, a patient is to start oral fluids and feedings. * 1 point
Before feeding the
patient, the nurse should first
A. check the patient's gag reflex
B. order a soft diet for the patient
C. raise the head of the bed to sitting position
D. evaluate the patient's ability to swallow small sips of ice water
7.Which of the following are most likely to be early signs of cardiac * 1 point
problems in older persons? Select
all that apply.
A. Mental status changes
B. Agitation
C. Frequent falls
D. Sudden changes in GI function
8. A patient has been diagnosed with Right-Sided Congestive Heart Failure, * 1 point
and is confused about
return of deoxygenated blood from the tissue. To clarify the confusion,
which chamber of the heart
receives blood from systemic circulation?
A. Left atrium
B. Right atrium
C. Right ventricle
D. Left ventricle
9. A nurse notes 2+ bilateral edema in the lower extremities of a client with * 1 point
myocardial infarction who
was admitted 2 days ago. The nurse would plan to do which of the
following next?
A. Review the intake and output records for the last 2 days
B. Change the time of diuretic administration from morning to evening
C. Request a sodium restriction of 1 g/day from the physician.
D. Order daily weights starting the following morning.
10. A 60-year-old male client comes into the emergency department with * 1 point
complaints of crushing
chest pain that radiates to his shoulder and left arm. The admitting
diagnosis is acute myocardial
infarction. Immediate admission orders include oxygen by NC at 4L/minute,
blood work, chest x-ray,
an ECG, and 2mg of morphine given intravenously. The nurse should first:
A. Administer the morphine
B. Obtain a 12-lead ECG
C. Obtain the lab work
D. Order the chest x-ray
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