An 82-year-old woman is being discharged from the hospital following a bowel resection. The woman lives alone and her family is out of town. Which factor will have the greatest effect on her home care management?
A) Support systems
B) Medication management
C) Transportation
D) Psychosocial needs
Ans: A
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A patient arrived at the emergency department 2 days after the development of "chest pressure" and "tightness" was treated with antacids thinking it was indigestion
His enzymes show a massive myocardial infarction (MI). Following angioplasty, the patient asks why so much muscle was damaged if only one vessel was blocked, the left circumflex. The nurse responds, A) "With any blockage in the heart, muscle damage always occurs." B) "If a major artery like the circumflex is occluded, the smaller vessels supplied by that vessel cannot restore the blood flow." C) "Since the circumflex artery supplies oxygenated blood flow to the posterior surface of the left ventricle, any amount of blockage will result in vital muscle tissue being lost." D) "When it comes to arteries in the heart, all vessels are equal, and any blockage causes a massive amount of damage that will not be restored."
An 83-year-old woman has been given a thiazide diuretic to treat mild heart failure. She and her daughter should be told to watch for which problems?
a. Constipation and anorexia b. Fatigue, leg cramps, and dehydration c. Daytime sedation and lethargy d. Edema, nausea, and blurred vision
A patient with acute hepatic dysfunction is prescribed Lactulose 15 cc by mouth four times a day. The nurse realizes that this medication will impact which of the following?
1. hemoglobin production 2. ammonia level 3. degree of ascites 4. reduce portal hypertension
Two naturally occurring opiates derived from the poppy plant are:
A. codeine and marijuana. B. morphine and codeine. C. morphine and heroin. D. codeine and heroin.