The nurse is caring for a patient experiencing presbycusis. What intervention should the nursing personnel be instructed to implement?
a. Speak quickly to the patient
b. Speak in loud tones to the patient
c. Speak slowly and clearly to the patient
d. Tell the patient they must purchase a hearing aid
ANS: C
Age-related hearing loss, presbycusis, is a common finding in older adults. It is important to speak slowly and clearly to the patient with presbycusis. Not all patients with this type of hearing loss require a hearing aid.
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A nurse is teaching a client who experiences migraine headaches and is prescribed a beta blocker. Which statement should the nurse include in this client's teaching?
a. "Take this drug only when you have prodromal symptoms indicating the onset of a migraine headache." b. "Take this drug as ordered, even when feeling well, to prevent vascular changes associated with migraine headaches." c. "This drug will relieve the pain during the aura phase soon after a headache has started." d. "This medication will have no effect on your heart rate or blood pressure because you are taking it for migraines."
A patient with an acute myocardial infarction is admitted to the coronary care unit. The physician has ordered heparin 25,000 units in 250 mL normal saline to infuse at a rate of 600 units/h
The nurse sets the infusion pump to deliver how many milliliters in an hour? A) 8 B) 7 C) 6 D) 5
After a patient undergoes surgery, the nurse notes that the analgesics prescribed are not relieving the patient's pain. A review of the patient's medical records reveals a history of alcohol abuse. What inferences can the nurse make?
1. The patient is likely cross-tolerant to the prescribed analgesic. 2. The patient has an unreported addiction to the pain medication being prescribed. 3. The patient has a history of using this medication at home. 4. The patient has a dual diagnosis relating to alcohol and drug addiction.
Which client does the nurse assign as a roommate for the client with aplastic anemia?
A. 23-year-old with sickle cell disease who has two draining leg ulcers B. 28-year-old with glucose-6-phosphate deficiency (G6PD) anemia who is receiving mannitol (Osmitrol) C. 30-year-old with leukemia who is receiving induction chemotherapy D. 34-year-old with idiopathic thrombocytopenia who is taking steroids