An 82-year-old patient in a long-term care facility has several medications prescribed. After the patient is newly diagnosed with hypothyroidism, the nurse will need to consult with the health care provider before administering

a. docusate (Colace).
b. ibuprofen (Motrin).
c. diazepam (Valium).
d. cefoxitin (Mefoxin).


ANS: C
Worsening of mental status and myxedema coma can be precipitated by the use of sedatives, especially in older adults. The nurse should discuss the use of diazepam with the health care provider before administration. The other medications may be given safely to the patient.

Nursing

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Who has the legal authority for nursing practice/action according to each state?

a. The Joint Commission b. State Boards of Nursing c. Nurse Practice Act d. National Council Licensure Examination (NCLEX)

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A patient shouts, "I'm holding you responsible for mistreatment based on Rogers v. Orkin." The nurse can conclude that the patient is objecting to

a. loss of privileges to leave the unit. b. inability to make phone calls. c. taking medication. d. hospitalization.

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A decision has been made for an older client to receive aggressive cancer therapy despite knowing that the therapy will actually be more harmful than the disease and subject the client to harmful chemicals

With which ethical principle is this nurse caring for this client struggling? 1. Autonomy 2. Justice 3. Beneficence 4. Nonmaleficence

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A patient tells a nurse, "I want my own private room because my roommate is always watching football on television. He probably thinks I'm gay because I don't like football."

Which communication best reflects a cognitive behavioral assessment by the nurse? a. "You feel your roommate thinks you're gay because you don't like football and he spends his time watching football? How will getting a private room change things?" b. "It's hard to feel excluded, but isolating yourself is not the answer. Perhaps you might try watching football with him.". c. "Don't you think your roommate will be more likely to think you're gay if you get a private room?" d. "Well, you must realize that most men like football, but that doesn't mean he will think you are gay.".

Nursing