Leading causes of death in the older age individual include:
1. vehicular accidents and suicide.
2. cardiovascular disease and diabetes mellitus.
3. alcoholism and cirrhosis.
4. cancer and strokes.
2
The major cause of death of those in the older age group is related to chronic illness, specif-ically cardiovascular disease, cancer, and diabetes mellitus.
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A client is starting hormonal therapy with tamoxifen (Nolvadex) to lower the risk for breast cancer. What information needs to be explained by the nurse regarding the action of this drug?
a. It blocks the release of luteinizing hormone. b. It interferes with cancer cell division. c. It selectively blocks estrogen in the breast. d. It inhibits DNA synthesis in rapidly dividing cells.
Which may indicate a malignant melanoma in a nevus on a patient's arm?
a. Even coloring of the mole b. Decrease in size of the mole c. Irregular border of the mole d. Symmetry of the mole
All of the following behaviors have been assessed by the nurse in a 52-year-old man. Which behavior is considered incongruent with middle-aged developmental tasks?
a. Refusal to work more than 50 hours a week b. Refusal to give up time with his grand-children c. Refusal to stop his semiweekly golf game d. Refusal to make preparations for retire-ment
While caring for a nonverbal patient, which of the following ensures appropriate and timely pain management?
1. Medicate the patient based on the pathologic condition, nonverbal cues, and pain procedures. 2. Have the family medicate the patient, based on their knowledge of the patient's response to pain. 3. Administer non-narcotic analgesics around the clock, adding narcotic analgesia when necessary. 4. Use the McGill pain questionnaire to determine the optimal pain management plan.