A staff member asks the nurse if the older adult client can be on a long-acting medication since his son is. Which of the following nursing responses is correct?
A) It is not the place of staff members to questions clients' medications.
B) There is no reason that age should make a difference in long- versus short-acting medications.
C) It would be a good idea since long-acting medications usually require fewer doses per day.
D) Long-acting medications are stored much longer in older adults and are not recommended.
D
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The patient has edema resulting from heart failure (HF) in both ankles. The nurse interprets this to mean the hydrostatic pressure is higher than what opposing pressure?
A) Pulse pressure B) Edema pressure C) Fluid pressure D) Oncotic pressure
Which option reflects the nurse's duty to prevent patient falls?
1. The nurse has a duty to provide minimal assistance. 2. The nurse has a duty to assess the patient for risk for falls. 3. The nurse has a duty to provide continual observation of patients. 4. The nurse has a duty to see that siderails on all beds are raised at all times.
An elderly client has mild dementia and the nurse feels the client may be in pain. The best way for the nurse to assess this client for pain is by
a. asking direct questions about pain. b. changing the way the nurse phrases the questions. c. having the client rate pain with a 1-10 scale. d. using the FACES pain scale.
Which discharge instructions does the nurse include for a patient after abdominoperitoneal resection?
a. use a soft pillow to sit on whenever you sit down b. Lie on your back when you are resting in bed c. use a rubber doughnut device for sitting on when in the car d. sit in a chair for at least 4 consecutive hours a day