A nurse educates adults in preventive measures to avoid problems of middle adult years. Which of the following are the major health problems during the middle adult years?
A) Cardiovascular disease, cancer
B) Upper respiratory infections, fractures
C) Communicable diseases, dementia
D) Sexually transmitted diseases, drug abuse
Ans: A
The major health problems of the middle adult years are cardiovascular and pulmonary diseases, cancer, rheumatoid arthritis, diabetes, obesity, alcoholism, and depression. The risk for these health problems often depends on a combination of lifestyle factors and aging.
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The patient received a preoperative dose of lorazepam (Ativan) 20 minutes ago. The safety precaution the nurse should take in regard to this drug is to:
a. monitor respiratory status. b. raise bed rails. c. elevate the head of the bed 30 degrees. d. take seizure precautions.
An 87-year-old female previously independent comes to the ER with 2 days of difficulty swallowing, productive cough, and dyspnea. History includes hypertension and atrial fibrillation. She has a low-grade fever and increased blood pressure
Physical examination and chest radiography are consistent with consolidation in left lower lobe. On bedside testing, she immediately sputters and coughs after drinking a small amount of water from a cup. There are no other neurological signs. Labs: Mild dehydration and WBC increased. MRI reveals a new small brain-stem infarction and mild generalized cerebral atrophy. Treatment for aspiration pneumonia is instituted. Five days later a speech therapy consult was ordered to evaluate swallowing. No improvement has been noted and formal evaluation shows aspiration with most consistencies of food and liquid. Which of the following is the best recommendation? A. Careful oral feeding B. Hospice C. Gastrostomy feeding D. Nasogastric feeding
The laboring client's fetal heart rate baseline is 120 beats per minute (bpm). Accelerations are present to 135 bpm. During contractions, the fetal heart rate gradually slows to 110 bpm and is at 120 bpm by the end of the contraction
What nursing action is best? 1. Document the fetal heart rate. 2. Apply oxygen via mask at 10 liters. 3. Prepare for imminent delivery. 4. Assist the client into Fowler's position.
A 31-year-old woman who is at high risk for diabetes is at 18 weeks' gestation. During her first antenatal visit, which is the accurate approach to evaluate the client for diabetes?
1. Conduct screening for type 2 diabetes mellitus as soon as possible. 2. Begin serial testing of the client's serum glucose and HA1c at 24 weeks' gestation. 3. If diabetes is diagnosed, consider this condition to be gestational diabetes mellitus (GDM). 4. Recognize HA1c equal to or greater than 4.5% or a fasting plasma glucose level equal to or greater than 90 mg/dL as being diagnostic of diabetes.