Robert is a 72-year-old patient who has hypertension and angina. He is at risk for common medication practices seen in the elderly including:
1. Use of another person's medications
2. Hoarding medications
3. Changing his medication regimen without telling his provider
4. All of the above
4
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As a nurse who provides care for many patients with cancer, you are aware that cancer makes patients susceptible to many other health problems. Which of the following assessments addresses the leading cause of death among patients who have cancer?
A) Assessing patients' lower legs for redness, swelling, or pain on dorsiflexion B) Arranging for serial electrocardiograms (ECGs) or cardiac telemetry whenever possible C) Monitoring white blood cell (WBC) counts and assessing patients' integumentary systems D) Auscultating patients' lungs thoroughly and monitoring oxygen saturation levels
A nurse is having a discussion with another nurse regarding the narrow therapeutic range of a particular drug. A patient has been taking this drug for 1 week. What is the most significant im-plication for the nurse who is caring for this patient?
a. The drug will be ineffective, because it will have difficulty reaching the minimum effective concentration. b. The patient's body will maintain therapeutic levels easily. c. The patient's kidney function may be compromised. d. The patient should be monitored carefully for toxicity.
A postpartal patient is receiving heparin as treatment for thrombophlebitis. What should the nurse instruct the patient about breastfeeding during this time?
A) Breastfeeding can continue. B) The baby will need weekly blood work. C) The effect of anticoagulants is counteracted by infant gastric juices. D) All anticoagulants pass in breast milk so breastfeeding will have to stop.
The nurse works with a physician who frequently prescribes benzodiazepines. The use of benzodiazepines in which patient would cause the nurse the most concern?
1. An 87-year-old patient who uses a cane for ambulation 2. A 9-year-old child with panic attacks 3. A 42-year-old businessman who travels internationally 4. A 32-year-old mother of two preschool children