The nurse is coordinating care for a newly admitted older adult. The patient is diagnosed with hypertension, asthma, atrial fibrillation, mild osteoarthritis, and glaucom
a. Before administering the patient's corticosteroid medication, the nurse is especially interested in which of the follow-ing? (Select all that apply.)
a. The name of the patient's hypertension medication
b. What the patient uses to manage arthritic pain
c. Whether the patient feels the asthma is well controlled
d. Whether the patient takes low-dose aspi-rin regularly
e. Whether the patient has ever had glauco-ma-related surgery
A, B, D
Asthma may be exacerbated by the use of nonsteroidal antiinflammatory agents for arthritis, as-pirin for circulation, nonselective beta-blockers for hypertension, or glaucoma eye drops that contain beta-blockers. Feeling that the asthma is under control and previous surgery are not di-rectly related.
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The nurse is instructing a patient about the need to replace fluid before, during, and after exercise to avoid dehydration. On what basis should she teach the patient to determine the amount of fluid to consume? Select all that apply
a. Duration of exercise b. Environmental temperature c. Level of fitness d. Degree of thirst
A middle-aged Hispanic woman is arguing with you that she does not want to take penicillin for her infection-caused diarrhea. What is a likely explanation for this refusal?
a. She considers penicillin a "hot" medication and diarrhea a "cold" disease and so believes that penicillin should not be used b. She considers penicillin a "hot" medication and diarrhea a "hot" disease and so believes that penicillin should not be used c. She does not believe in the use of antibiotics d. She thinks penicillin would interfere with the herbs and spices she routinely takes
Which measurement can the nurse delegate to nursing assistive personnel?
a. Oral fluid intake b. Intravenous fluid intake c. Tube drainage output d. Nasogastric tube intake
After the nurse has finished teaching a 68-year-old patient with osteoarthritis (OA) of the right hip about how to manage the OA, which patient statement indicates a need for more teaching?
a. "I can take glucosamine to help decrease my knee pain." b. "I will take 1 g of acetaminophen (Tylenol) every 4 hours." c. "I will take a shower in the morning to help relieve stiffness." d. "I can use a cane to decrease the pressure and pain in my hip."