An older adult is seen in the emergency department after falling and sustaining substantial soft tissue bruising. The assessment interview notes a history of arthritic pain in several joints. The client is prescribed acetaminophen 650 mg four times per da

per day and Motrin 800 mg four times per day for control of the persistent arthritic pain. When providing discharge teaching, the nurse includes information regarding the signs and symptoms of: Select all that apply.
a. gas-trointestinal bleeding
b. renal impairment
c. medi-cation interactions
d. confu-sion
e. in-creased anxiety


ANS: A, B, C
There is no indication that the patient is at risk for mental status changes such as confusion or increased anxiety. The remaining options are directly related to the possible outcomes of long-term pain management with these medications.

Nursing

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An older adult is in the hospital because of heart failure and becomes incontinent of urine. Which evidence-based resource should the nurse use to guide continence care for this patient?

a. Nursing Standard Practice Protocol b. The Borun Center training modules c. Toolkit from the American Geriatrics Society d. The Center for Medicare and Medicaid Services

Nursing

The nurse has worked as a staff nurse in the acute care facility for three years and is considering quitting and taking a job at a large clinic in town. The nurse draws up a list of pros and cons related to the job change

What part of Lewin's change theory is the nurse demonstrating? 1. Unfreezing 2. Moving 3. Refreezing 4. Identifying driving and restraining forces

Nursing

One of the disadvantages of telephone interviews is the low response rate

A) True B) False

Nursing

When providing support and education to the family of a child who is diagnosed with a serious genetic abnormality, which of the following would be the highest priority?

A) Assisting with scheduling follow-up visits B) Establishing a trusting relationship C) Teaching the family what to expect D) Using measures to promote growth and development

Nursing