An older adult patient is admitted to the hospital for treatment of an exacerbation of a chronic illness. Admission laboratory work reveals an extremely low serum drug level of the drug used to treat this condition
The patient has brought the medication to the hospital, along with other medications taken. The patient's renal and hepatic function tests are normal. What might the nurse suspect as a likely cause of this finding? a. Financial concerns
b. Inability to open drug containers
c. Increased tolerance to the drug's effects
d. Patient's conviction that the drug is unne-cessary
A
Older adult patients who have financial concerns about paying for medications often take less of the drug or take it less often to make the drug last longer. A patient unable to open the drug con-tainer would not get any medication and would not have a detectable serum drug level. A patient with increased tolerance to a drug's effects would require more of the drug to get effects. A pa-tient convinced that the drug is not needed would probably not fill the prescription.
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A new graduate was asked by the Nursing Supervisor, "What are the components of the internal female genitalia?" Which response by the new graduate would cause the supervisor to be concerned? Select all that apply
a. Vagina d. Anus b. Bartholin's glands e. Fallopian tubes c. Uterus f. Ovaries
What is assured once an adult patient executes a living will?
1. The directions of the document will be followed, even if the patient makes a verbal request that directly contradicts the provisions of the document. 2. The document is legally binding and all health care providers will abide by its provisions. 3. In order to revoke the document, the patient must sign a subsequent living will. 4. The health care providers who abide by the document cannot be charged with criminal negligence associated with the patient's death.
The teacher refers a 9-year-old student to the school nurse for a sleep assessment. The student is often asleep in class and is failing in several areas. The teacher suspects the child is not getting enough sleep
The nurse finds out that the child is going to bed at midnight and getting up at 7 AM. Which of the following is the best action for the nurse to take? a. Have the child take a nap sometime during the day at school. b. Tell the child to get more sleep on the weekend to catch up on sleep. c. Ask the child to go to bed earlier at night, if at all possible, so the child won't fall asleep in class and will be able to pay attention. d. Talk to the family about a 9-year-old's need for 9 to 10 hours of sleep per night so the child will grow and can pay attention at school.
What will the nurse include when educating a 12-year-old patient about care of a cold sore? (Select all that apply.)
a. "Keep the cold sore clean with mild soap." b. "Use an astringent to assist in drying the cold sore and promote rapid healing." c. "Keep the cold sore moist to prevent cracking." d. "Note signs of infection, including the presence of pus. Contact the health care provider if this occurs." e. "Oral analgesics may help alleviate pain."