The nurse is participating in a local health fair. Which should the nurse include in a presentation on aging changes associated with the GI system? (Select all that apply.)
a. Decreased peristalsis
b. Increased constipation
c. Decreased sense of taste
d. Increased periodontal disease
e. Decreased risk of colon cancer
ANS: A, B, C, D
The sense of taste becomes less acute, and there is greater likelihood of periodontal disease and oral cancer. There may be difficulties with chewing if teeth have been lost. Secretions throughout the GI tract are reduced, and the effectiveness of peristalsis diminishes because of loss of muscle elasticity and slowed motility. Indigestion may become more common, especially if the lower esophageal sphincter (LES) loses its tone, and there is greater chance of peptic ulcer. In the colon, diverticula may form. Constipation may be a problem, as may hemorrhoids. E. The risk of colon cancer also increases with age.
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The nurse is providing patient teaching about a prescribed opioid analgesic. What is an important teaching point related to a possible adverse effect of this drug?
A) Ataxia B) Blurred vision C) Hypotension D) Dysrhythmias
A nurse is preparing a school-aged child for a lumbar puncture. The nurse would expect to position the child in which manner?
A) On her side with the head flexed forward and knees flexed to the abdomen B) Sitting upright with the head flexed forward to the chest C) Supine with arms and legs pronated and extended D) Prone with the arms flexed under the chest
A client who had pancreatic surgery has been started on medication therapy with pancrelipase (Pancrease). The manifestation that the nurse would report as an indication that the dosage may be insufficient is
a. black, tarry stools. b. clay-colored stools. c. constipation. d. steatorrhea.
A patient has been prescribed danazol for treatment of mastalgia
Which patient statements indicate that the patient understands the nurse's instructions about this drug? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. "I must avoid becoming pregnant while taking danazol.". 2. "I may stop having periods while on this medication.". 3. "This is the most effective drug for this condition.". 4. "I will apply this gel to my breasts twice a day.". 5. "I should watch for easy bruising and tarry stools while taking danazol.".