Which of the following statements describes how elderly clients react to medications?
A. At risk for increased adverse effects
B. Tolerate medication better because they are less active
C. Metabolize medications quickly
D. Need higher doses than younger clients to respond to the same medication
Ans: A. At risk for increased adverse effects
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A patient's enteral feedings have been determined to be too concentrated based on the patient's development of dumping syndrome. What physiologic phenomenon caused this patient's complication of enteral feeding?
A) Increased gastric secretion of HCl and gastrin because of high osmolality of feeds B) Entry of large amounts of water into the small intestine because of osmotic pressure C) Mucosal irritation of the stomach and small intestine by the high concentration of the feed D) Acid–base imbalance resulting from the high volume of solutes in the feed
The patient's admitting 12-lead ECG shows peaked P waves. Which of the following admitting diagnoses could be responsible for this finding?
a. Mitral stenosis b. Pulmonary edema c. Ischemia d. Pericarditis
A person has been diagnosed with multiple sclerosis and asks the healthcare professional to explain the disease. What description by the professional is most accurate?
a. Myelination of nerve fibers in the peripheral nervous system (PNS) b. Demyelination of nerve fibers in the CNS c. Development of neurofibrillary tangles in the CNS d. Inherited autosomal dominant trait with high penetrance
An occupational health nurse (OHN) realizes that an injured employee is going to be temporarily disabled. Which of the following actions can the nurse take to avoid the employee having disability syndrome? (Select all that apply.)
a. Analyze the physical requirements necessary for doing specific jobs within the workplace
b. Collaborate with the legal consultant to ensure that the employer cannot be held responsible for the employee's injury
c. Facilitate appropriate equipment or process changes necessary for the employee to be able to engage in temporary work functions
d. Implement and monitor the employee's health to prevent adverse health effects from the injury
e. Negotiate with workers' compensation to gradually decrease benefits to encourage the employee to return to employment as soon as possible
f. Collaborate with the primary care provider to identify potential barriers in the employee's return-to-work process