Mrs. Black, an 87-year-old patient, has been taking 100 mcg of Synthroid for 10 years. She comes to your office for a routine follow-up, feeling well. Her heart rate is 90. Your first response is to
A. Increase the Synthroid
B. Order TSH
C. Start a beta-blocker
D. Order thyroid scan
B
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The wife of your alcoholic patient has been attending Al-Anon meetings for the past 2 weeks. Which statement tells you the wife is benefitting from the meetings?
A. "I can tolerate his destructive behavior now that I see how bad other women have it." B. "I realize that I provoke his drinking when I go out with my friends." C. "I no longer feel that I have to tolerate his berating me." D. "It is great to get out of the house and away from the tension."
A patient has lost 10 pounds in the last 2 months from breast cancer and chemotherapy. The chemotherapy has caused the patient to not eat. Which nursing diagnosis should the nurse use to develop the plan of care?
a. Imbalanced Nutrition: Less Than Body Requirements Related to Decreased Food Intake b. Imbalanced Nutrition: Less Than Body Requirements Related to Cancer c. Imbalanced Nutrition: Less Than Body Requirements Related to Loss of Weight d. Imbalanced Nutrition: Less Than Body Requirement Related to Insufficient Pre-scription of Chemotherapy
The nurse is asked by a patient in the clinic if she should purchase an expensive brand-name multivitamin because the cheaper vitamin is not as good. Which would be the nurse's response to this patient?
a. "Expensive is always better with any product you buy." b. "All vitamins are the same over the counter." c. "Costs and manufacturers' claims don't mean proven effectiveness." d. "The cost is determined by the color and the amount of pills in the container."
An older person with GERD should avoid which of the following?
a. laying flat after meals b. caffeine c. chocolate d. all of the above