The nurse is caring for an elderly patient who is receiving a number of medications. Taking into consideration normal aging, what should the nurse monitor most carefully?
A) Vital signs
B) Creatinine clearance
C) Muscle strength
D) Cardiac function
B
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Which statement should be incorporated into the restraint policy for residents of a long-term care facility?
A) Restraints should never be used. B) Physical restraints should only be used with verifiably agitated patients. C) Restraints should only be used when one-to-one staff supervision is not possible. D) Alternatives should be explored before chemical and physical restraints are utilized.
Which of the following methods helps the nurse evaluate a client's response to diuretics?
A) Using mechanical ventilation C) Using a pulmonary artery catheter B) Using a urinary catheter D) Using a biventricular pacemaker
What instructions should the nurse provide to the client initiating treatment with metoclo-pramide (Reglan) for GERD?
A. "Take this medication 60 minutes before each meal." B. "This medication will promote healing of esophageal tissue if taken at regular intervals." C. "This medication can make you feel tired." D. "This medication can cause abdominal cramping and diarrhea."
The nurse is assisting in the care of a client who is being evaluated for possible myasthenia gravis. The health care provider gives a test dose of edrophonium (Tensilon). Evaluation of the results indicates that the test is positive
Which of the following would be the expected response noted by the nurse? 1. Joint pain for the next 15 minutes 2. A decrease in muscle strength within 1 to 3 minutes 3. An increase in muscle strength within 1 to 3 minutes 4. Feelings of faintness or dizziness for 5 to 10 minutes