The nurse on a medical acute care unit is preparing for the admission of an 84-year-old patient with several diagnosed chronic illnesses. The nurse begins the plan of care for this patient based on the understanding that the older adult is likely to
a. develop hospital-induced delirium.
b. require special attention related to sensory deficits.
c. need a social services consult before dis-charge.
d. present with a need for a high level of nursing care.
D
The older adult is not likely to be admitted to the hospital until a high level of acuity or compli-cations exists. The other options may be possible, but the majority of older patients are admitted at a high level of acuity.
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A patient with septic shock has a BP of 70/46 mm Hg, pulse 136, respirations 32, temperature 104° F, and blood glucose 246 mg/dL. Which intervention ordered by the health care provider should the nurse implement first?
a. Give normal saline IV at 500 mL/hr. b. Give acetaminophen (Tylenol) 650 mg rectally. c. Start insulin drip to maintain blood glucose at 110 to 150 mg/dL. d. Start norepinephrine (Levophed) to keep systolic blood pressure >90 mm Hg.
In the following scenarios, which elders are at higher risk for becoming the victims of abuse? Select all that apply
A) A 62-year-old retiree with chronic kidney disease B) A 65-year-old who is ambulatory with advanced dementia C) An 87-year-old blind retiree who has been living with her daughter for the past fifteen years D) A 76-year-old retiree with metastatic bone cancer E) A 69-year-old retiree who lives alone
A patient taking tamsulosin (Flomax) asks the nurse how the drug works. What is the nurse's best response?
a. "This drug works on your prostate gland to decrease its size." b. "This drug signals the cells in your prostate gland not to grow." c. "This drug works by relaxing the detrusor muscle of your bladder." d. "This drug relaxes muscle around your urethra to improve urine flow."
Proper use of validation therapy requires special training
Indicate whether the statement is true or false.