A 78-year-old man with Parkinson's disease is being cared for in a nursing home. The nurses observe that he coughs at mealtime; he has the ability to still feed himself with adaptive equipment. He has had no aspirations
Oral exam is normal, except during his swallowing assessment you note there is slight delayed elicitation. You assess that he has only mild dysphagia. You recommend which of the following as the next step in his care?
A. Consult gastroenterologist for g-tube decision
B. Consult speech pathologist for video fluoroscopy
C. Provide a trial of foods of differing consistency
D. Require that he is fed all his meals
C
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A client who is hospitalized for treatment after a stroke asks the nurse how long Medicare can be expected to cover his treatment. What is the nurse's most informative response?
a. "Your Part B will cover your hospital care as long as is necessary." b. "Your health care provider will determine how long your Medicare coverage will be in effect." c. "You are allowed 50 days of inpatient care annually." d. "You can receive skilled care for up to 100 days."
A patient in the intensive care unit has had blood work drawn several times over the past 24 hours and the nurse notes that the patient's serum lactic acid level is trending upward. The most recent level is elevated at 5.3 mEq/L
What interpretation should the nurse draw from this assessment finding? A) The patient is experiencing increased intracranial pressure. B) Intracellular contents are being released into the patient's vascular space. C) The patient has developed a systemic infection. D) The patient is experiencing a deficit in oxygen supply.
A chronic alcoholic patient is brought to the emergency department. Which of the following areas of the body is responsible for most alcohol absorption?
a. Stomach b. Liver c. Kidneys d. Small intestines
Infants and young children are at higher risk of ADRs due to:
1. Immature renal function in school-age children 2. Lack of safety and efficacy studies in the pediatric population 3. Children's skin being thicker than adults, requiring higher dosages of topical medication 4. Infant boys having a higher proportion of muscle mass, leading to a higher volume of distribution