A patient reports that he has been taking aspirin to treat the muscle pain that results from his new walking routine. The nurse would be concerned about this treatment plan if the patient has which history?
1. Myocardial infarction at age 61
2. Helicobacter pylori infection treatment last month
3. No influenza vaccine in last 2 years
4. Mild hypertension
5. History of migraine headaches
1,2
Rationale 1: Patients over age 60 are at higher risk of aspirin-induced GI bleeding.
Rationale 2: Patients with Helicobacter pylori infection are at higher risk of aspirin-induced GI bleeding.
Rationale 3: There is no association between lack of influenza vaccine and use of aspirin.
Rationale 4: There is no association between mild hypertension and use of aspirin.
Rationale 5: There is no association between migraine headache and use of aspirin.
Global Rationale: Patients over age 60 or who have Helicobacter pylori infection are at higher risk of aspirin-induced GI bleeding. There is no association between lack of influenza vaccine, mild hypertension, or migraine headache and use of aspirin.
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When preparing a plan of care for an older adult patient, the nurse should consider the common problems associated with immobility. These problems may be classified as:
1. environmental and intellectual. 2. internal and external. 3. mental and medical. 4. physical and psychosocial.
In the American Holistic Nurses Association's code of ethics, nurses have a responsibility to model health behaviors, including achieving harmony in their own lives
Indicate whether the statement is true or false
A nurse is explaining the use of acyclovir therapy to a 72-year-old man. Nephrotoxicity is discussed as a major adverse effect in older patients. To minimize the risk of the patient developing this adverse effect, the nurse will advise him to
A) take the tablets on an empty stomach. B) decrease the drug dosage if initial symptoms of nephrotoxicity appear. C) stay well hydrated by drinking at least eight 8-oz glasses of water daily. D) eat light meals every day.
Which statement best describes the process of critical thinking?
a. It is a simple developmental process. b. It is purposeful and goal directed. c. It is based on deliberate and irrational thought. d. It assists individuals in guessing what is most appropriate.