Two considerations for the older adult surgical patient include (Select the two that apply.)
a. pre- and postoperative teaching.
b. lower morbidity and mortality.
c. quick assessment skills.
d. surgery causes much physiological stress.
A, D
Surgery places greater stress on older than on younger patients. Teaching should be given at the older person's level of understanding.
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The nurse would correctly state that an assignment had been made in which situation?
1. The nurse says to the charge nurse, "Please watch my patients while I run down and pick up some lunch from the hospital cafeteria." 2. The nurse says to the UAP, "Please take all of the vital signs before you begin to deliver breakfast trays." 3. The charge nurse divides the patient load into one team for each staff nurse who works the shift. 4. The nurse asks a housekeeper to clean a bed quickly for a new admission.
A patient has taken five or six nitroglycerin tablets a day to prevent chest pain for more than 2 years. His health care provider has recommended that he decrease the amount of medication he takes a day to no more than three tablets
How should the patient reduce his medication? 1. Stop taking the medication all at once. 2. Take one fewer tablet every 2 months. 3. Gradually cut down over a period of time. 4. Take the medication once a week.
When administering medications to patients receiving tube feedings, to ensure that the correct form of the medication is used and that it is compatible with the enteral formula, the best person to consult is the
a. physician. b. pharmacist. c. registered nurse. d. registered dietitian.
A parent brings a toddler to the pediatric clinic. The nurse observes a number of bruises on the child in various stages of healing. The parent claims the toddler bruises easily
The best action on the part of the pediatrician and the nurse would be to: a. believe the parents and schedule an appointment in 2 weeks b. report this to child and family services and order a screening battery of bleeding and clotting blood work c. check with the other parent or another caregiver to see what he or she might be able to add to this history d. tell the parent that it is clear that he or she is lying and to tell the truth