The nurse monitors an older adult for which of the following adverse drug reactions more commonly seen in elderly clients?

a. anaphylactic shock c. orthostatic hypotension
b. pseudomembranous enterocolitis d. discolored urine


ANS: C

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A Incorrect: This is no more common in the older adult.
B Incorrect: This is no more common in the older adult.
C Correct: Excessive sedation and orthostatic hypotension are adverse effects to drug therapy more common in the older adult.
D Incorrect: This is no more common in the older adult.

Nursing

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A normal finding when examining thoracic expansion is separation of the thumbs by

a. 2–3 cm on inspiration with return to the midline on expiration. b. 3–5 cm on inspiration with return to the midline on expiration. c. 3–5 cm on inspiration and 1–2 cm on expiration. d. 5–7 cm on inspiration and 3–5 cm on expiration.

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A nurse is running a psychoeducational group on self-esteem. A client asks, "Where does self-esteem come from?" Which is the most appropriate nursing response?

A) "A combination of factors influences the development and maintenance of one's self-esteem over the life span." B) "An individual's self-esteem is largely determined by factors outside of his or her control." C) "Self-esteem is established in childhood and remains relatively fixed throughout life." D) "An individual's parents are the single largest contributor to his or her self-esteem."

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In which type of research study does the researcher have the most control?

a. Correlational b. Descriptive c. Experimental d. Quasi-experimental

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After 3 weeks, you are providing discharge teaching for J.M. you ask her whether she is ready to go home. J.M. states, "I'll be so glad to get out of this place. I'm so fat and ugly

I need to lose 10 pounds. I bet I can do it in just a couple of days. Otherwise, I don't want to live anymore." What will you discuss with the physician before any further discharge teaching or plans? You report J.M.'s statements to the physician. What actions do you expect the physician to take? What medications would be indicated for J.M. to assist with resolution of both her anorexia nervosa and her depression? Which statements by J.M. would indicate successful treatment? Select all that apply. a. "When you say I look 'healthy' I feel fat." b. "Lately I've been feeling a little better about things." c. "It's up to me to take care of my body by eating enough food." d. "I just have to stay skinny to feel good." e. "I am looking forward to going out with my friends again."

Nursing