An older patient with hypothyroidism asks why her daily dose of thyroid hormone, which she has taken for 15 years, has been reduced. What is nurse's best rationale when explaining what the decreased dose is related to?
a. Improved efficacy of the thyroid prepara-tion
b. Age-related reduction in metabolic rate
c. Drug-related hypertrophy of the thyroid
d. Changes in your diet and activity level
B
Older patients have slower drug metabolism; consequently, the drug stays in their systems. All patients receiving hormone replacement need to be periodically evaluated.
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An 83-year-old patient has had a stroke. He is right-handed and has a history of hypertension and "little" strokes. He presents with right hemiplegia. To afford him the best visual field, the nurse should approach him
a. from the right side. b. from the left side. c. from the center. d. from either side.
Which of the following organizations is responsible for establishing a bill of rights for patients?
a. American Hospital Association b. American Nurses Association c. Commission for Collegiate Nursing Education d. The Joint Commission
A couple demonstrates under¬standing of the consequences of not treating chlamydia when they state: (Select all that apply.)
1. "She could become pregnant.". 2. "She could have severe vaginal itching.". 3. "He could get an infection in the tube that carries the urine out.". 4. "It could cause us to develop rashes.". 5. "She could develop a worse infection of the uterus and tubes.".
When caring for a patient at the end of life, the nurse decides which therapies to continue based on whether the intervention will: Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. Keep the family happy. 2. Reduce the workload of the staff. 3. Enhance the patient's functional status. 4. Lessen the patient's emotional, psychological, or spiritual distress. 5. Promote relief of the patient's symptoms.