The nurse is planning care for several clients. Which client has the greatest risk of developing heart failure?
A) A 69-year-old African-American male with hypertension
B) A 50-year-old African-American female who smokes
C) A 75-year-old Caucasian male who is overweight
D) A 52-year-old Caucasian female with asthma
Answer: A
Age, race, and hypertension lead to an increased risk for developing heart failure. Race and smoking are risk factors, but being female and younger decreases the overall risk. Age and obesity are risk factors, but not as much as age, being African-American, and having hypertension. Asthma is not considered a significant risk factor in the development of heart failure.
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An 84-year-old patient has returned from the post-anesthetic care unit (PACU) following hip arthroplasty
The patient is oriented to name only. The patient's family is very upset because, before having surgery, the patient had no cognitive deficits. The patient is subsequently diagnosed with postoperative delirium. What should the nurse explain to the patient's family? A) This problem is self-limiting and there is nothing to worry about. B) Delirium involves a progressive decline in memory loss and overall cognitive function. C) Delirium of this type is treatable and her cognition will return to previous levels. D) This problem can be resolved by administering antidotes to the anesthetic that was used in surgery.
When describing tardive dyskinesia (TD) associated with the use of antipsychotic medication, which of the following would the nurse integrate into the teaching plan? Select all that apply
A) TD is an early-appearing adverse reaction. B) TD involves rhythmic, involuntary movements of the facial structures. C) TD is a reversible adverse effect of antipsychotic drugs. D) TD is less likely to occur with the use of atypical psychotics. E) TD can occur after discontinuation of antipsychotic drug therapy.
A process of intentional intervention to create something new is called:
a. altered direction. b. organizational flux. c. planned change. d. status revision.
The nurse is caring for a patient with a personality disorder who has manifestations of emotional reactivity. According to the biological perspective, which neurotransmitter is most likely affected?
1. Norepinephrine 2. Serotonin 3. Acetylcholine 4. Dopamine