The LPN is administering medication to an older adult patient and is concerned that the patient may develop drug toxicity. Which of the following interventions should the nurse implement first?
A. verify that the patient has adequate liver function before receiving the medication
B. verify that the patient has been started on a lower than usual dose of the medication
C. verify that the patient has adequate kidney function before receiving the medication
D. verify that the patient has been started on a larger than usual dose of the medication
B. verify that the patient has been started on a lower than usual dose of the medication
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The nurse explains that the second process of self-mobility an infant learns is seen at the age of 9 months, when the infant begins to ___________
ANS:
The nurse's comprehensive assessment of an older adult involves the assessment of the patient's gait. How should the nurse best perform this assessment?
A) Instruct the patient to walk heel-to-toe for 15 to 20 steps. B) Instruct the patient to walk in a straight line while not looking at the floor. C) Instruct the patient to walk away from the nurse for a short distance and then toward the nurse. D) Instruct the patient to balance on one foot for as long as possible and then walk in a circle around the room.
The nurse assesses a patient on the second postoperative day after abdominal surgery to repair a perforated duodenal ulcer. Which finding is most important for the nurse to report to the surgeon?
a. Tympanic temperature 99.2° F (37.3° C) b. Fine crackles audible at both lung bases c. Redness and swelling along the suture line d. 200 mL sanguineous fluid in the wound drain
A woman age 70 years tells the nurse that she is still sexually active. How would the nurse respond?
A) "You are too old for that kind of behavior." B) "Tell me what you enjoy the most." C) "You can be sexually active as long as you want to be." D) "There comes a time in life when this is no longer important."