The nurse instructing a patient with rheumatic arthritis about the prescribed exercise program includes that the exercises should be:
a. done every day 3 to 10 times for every joint.
b. done even if inflammation is present.
c. continued past the point of pain.
d. doubled the next day if one day is missed.
A
Exercises are essential to preserve joint function and should be done every day 3 to 10 times per joint. Exercises should be omitted if there is inflammation present and should not be taken past the point of pain, or made up the next day.
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The daughter of an older patient with chronic bronchitis says to the nurse, "I don't understand why my father has not been prescribed antibiotics for his bronchitis. The last time I had bronchi-tis I got antibiotics."
The nurse considers the following when formulating a response: a. Antibiotics tend to be less effective in older adults than in younger adults. b. Antibiotics are not prescribed in chronic bronchitis since the cause is usually not bacterial. c. The routine use of antibiotics is controver-sial because the causal role of bacterial in-fection is often not clear. d. Normal age-related decreases in immune response delay the presentation of classic symptoms.
The nurse is caring for a 70-year-old who uses hydrochlorothiazide (HydroDIURIL) and enalapril (Norvasc), but whose self-monitored blood pressure (BP) continues to be elevated. Which patient information may indicate a need for a change?
a. Patient takes a daily multivitamin tablet. b. Patient checks BP daily just after getting up. c. Patient drinks wine three to four times a week. d. Patient uses ibuprofen (Motrin) daily to treat osteoarthritis.
A nurse is caring for a patient with pancreatic cancer who is receiving continuous morphine for pain. Which of the following would be the most effective method to administer this medication?
A) Administer morphine by intravenous bolus or push through an intravenous infusion. B) Administer a piggyback intermittent intravenous infusion of morphine. C) Administer an intermittent intravenous infusion of morphine via a volume-control administration set. D) Administer a continuous subcutaneous infusion of morphine.
A nurse is interviewing a person who has stated on her entry health form that she is retired. Which of the following is the most crucial question for the nurse to ask?
a. "Have you had any problems since leaving your employment?" b. "How do you spend your time now?" c. "What has retirement been like for you?" d. "Where were you previously employed and what did you do there?"