Older Adult Final

4

The nurse is preparing to administer the following medications to a client with multiple health problems who have been hospitalized with deep vein thrombosis. Which medication is MOST important to double-check based on the laboratory result every day?

1. Furosemide 40mg IV

2. Famotidine 20mg IV

3. Digoxin 0.25mg PO

4. Warfarin 2.5 mg PO

5. Warfarin 2.5 mg PO

2

Examination of a patient in a supine position reveals jugular veins distended from the base of the neck to the angle of the jaw. This finding indicates:

1. Increased venous return.

2. Right-sided heart failure
   3.Increased pulmonary artery capillary pressure.

3. Left-sided heart failure.

3

Your patient reports experiencing dull and achy sensations in the lower extremities. You note that the lower extremities have edema and brownish pigmentation. Pulses are present bilaterally and the extremities feel warm to the touch. To help alleviate the patient’s symptoms, the nurse will position the lower extremities in the?

1.Dependent position
2.Horizontal position
3.Elevated position above heart level
4. Knee-flexed position
4.Knee-flexed position

2

You’re providing discharge teaching to a patient with peripheral arterial disease. Which statement by the patient requires you to re-educate the patient?

1. “It is important I quit smoking.”
   2.“To prevent my feet and legs from getting too cold at night, I will use a heating pad.

2. “A walking program would be beneficial in treatment of my PAD.”

3. “I will avoid wearing tight socks or shoes.”

2

The nurse is caring for a patient with heart failure. While auscultating heart sounds of this patient, the nurse hears an extra heart sound immediately after the second heart sound (S2). How would the nurse document this?

1. A first heart sound (S1) 2

2. A third heart sound (S3)

3. 3.A fourth heart sound (S4)

4. 4.A murmur

2

The daughter of an older patient with chronic bronchitis says to the nurse, “I don’t understand why my father has not been prescribed antibiotics for his bronchitis. The last time I had bronchitis I got antibiotics.” The nurse considers the following when formulating a response:

1.Antibiotics tend to be less effective in older adults than in younger adults
2.Antibiotics are not prescribed in chronic bronchitis since the cause is usually not bacterial
3.The routine use of antibiotics is controversial because the causal role of bacterial infection is often not clear
4.Normal age-related decreases in immune response delay the presentation of classic symptoms

1

A student nurse is providing education to a group of older adults about emphysema. What should the student include in the teaching? Emphysema is:

1.The destruction of the walls of the alveoli with a non-productive cough
2.An inflammatory disease of the airways that lasts for 3 months
3.An infection in the airways that lasts for 2 years
4.An inflammatory disease with frequent respiratory infections

2

A client has active TB. Which of the following symptoms will he exhibit?

1. Chest and lower back pain

2. Chills, fever, night sweats, and hemoptysis
   3.Fever of more than 104*F and nausea
   4.Headache and photophobia

2, 4

A patient has exercise-induced asthma. Which of the following actions can the patient perform to help prevent an attack during exercise? Select all that apply

1. Avoid warming up before exercise.

2. Administer a short-acting beta agonist before exercise

3. Administer a short-acting beta agonist after exercise
   4.Avoid exercising when experiencing a respiratory illness

2

A patient with hypovolemic shock is given IV fluids. IV fluids will help _________ cardiac output by:

1. decrease; decreasing preload
   2.increase, increasing preload
   3.increase, decreasing afterload
   4.decrease, increasing contractility

1

Which of the following is/are correct re: hypoproliferative anemia except:

1 It is premature destruction of RBCs
2 Iron deficiency is one of the causes this kind of anemia
3 Megaloblastic anemia is one of the causes of this kind of anemia
4 Increasing one’s intake of green vegetables, meat, and dairy products can help correct this kind of anemia
5 In this kind of anemia, the bone marrow cannot produce enough RBCs

4

Arterial embolism/thrombosis has the signs known as the “6 ps”; all of the following are part of the 6 p’s except for?

1. Pallor

2. Pain 3

3. Paresthesia

4. Parotic

5. poikilothermia