The nurse recognizes that which factor(s) would contribute to digoxin toxicity in a 92-year-old patient? (Select all that apply.)
a. Taking the medication with meals
b. Prolonged half-life of the drug digoxin
c. Impaired renal function
d. Diminished mental capacity
ANS: B, C
Impaired renal and hepatic function in older adults impairs metabolism and excretion of drugs, thus prolonging the half-life of a medication. Food would decrease the absorption of the drug. Diminished mental capacity does not contribute to drug toxicity unless it is due to administration errors.
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A nurse is teaching the parents of a dying child how to recognize impending death. Which manifestations does the nurse tell the parents to expect? (Select all that apply.)
A. Changes in breathing patterns B. Decreased desire to eat or drink C. Increased blood pressure D. Pale, cool skin E. Restlessness or agitation
A client being treated in an alcohol rehabilitation unit reveals to the nurse that he feels "terrible
guilt" for sexually abusing his 6-year-old stepdaughter before his admission. On the basis of state and federal laws, the best action for the nurse to take is to a. anonymously report the abuse through a phone call to the local child abuse hotline. b. respect nurse-client relationship confidentiality. c. file a written report on agency letterhead. d. report the finding to the district attorney.
__________ involves a team effort to achieve client care outcomes
Fill in the blank(s) with correct word
A nurse wishes to develop cultural competence. Which of the following actions should the nurse take first?
a. Complete a survey of all the various ethnicities represented in the nurse's community. b. Consider how the nurse's own personal beliefs and decisions are reflective of his or her culture. c. Invite a family from another culture to join the nurse for an event. d. Study the beliefs and traditions of persons living in other cultures.