Which age-related change increases an older patient's risk for pernicious anemia?
1. Laxative dependency
2. Increased incidence of cholelithiasis
3. Decreased hydrochloric acid in the stomach
4. Decreased peristalsis in the gastrointestinal tract
3
Rationale: Laxative use does not increase the older patient's risk for developing pernicious anemia.
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Which of the following situations best describes when a person would most likely be very unhappy and perhaps ill after retirement? (Select all that apply.)
a. If their family total income is now less than when he or she was employed b. If the retirement was involuntary c. If the person's self-image was based on job role and status d. If the person has no outside interests or leisure activities e. If his or her spouse did not appreciate input into their schedules or activities f. If the person believes others are now taking credit for his or her achievements
A nurse is reviewing the laboratory results of a client that has been diagnosed with multiple myeloma. The nurse would expect to find which of the following with this diagnosis?
a. decreased number of plasma cells in the bone marrow b. increased white blood cells c. increased calcium level d. decreased blood urea nitrogen (BUN) level
The wound nurse has prescribed the use of a hydrocolloid dressing for an abdominal wound that is not healing. The child's primary nurse knows that this type of dressing is effective because:
1. The dressing allows the child to be mobile. 2. The dressing aids in the regeneration of skin and helps the wound heal. 3. The dressing is soothing and reduces pain for the child. 4. The dressing absorbs a large amount of fluid, so the wound will heal.
The clinic nurse is assisting with an initial prenatal assessment
The following findings are present: spider nevi present on lower legs; dark pink, edematous nasal mucosa; mild enlargement of the thyroid gland; mottled skin and pallor on palms and nail beds; heart rate 88 with murmur present. What is the best action for the nurse to take based on these findings? 1. Have the healthcare provider see the client today. 2. Instruct the client to avoid direct sunlight. 3. Document the findings on the prenatal chart. 4. Analyze previous thyroid hormone laboratory results.