A nurse is assessing a 77-year-old male admitted to the unit for suspected liver dysfunction. What assessment finding will the nurse expect to find?
A) Liver function results change dramatically in the older adult.
B) Metabolism of medications is delayed primarily by the liver.
C) The liver is enlarged with hard edges.
D) The liver is decreased in size and weight.
Ans: D
Feedback: The most common change in the liver is a decrease in size and weight. Results of liver function test results do not normally change in the elderly. Metabolism of medication is decreased by intestinal absorption, renal excretion, and altered body distribution of fat, as well as a decrease in liver function.
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The daughter of a severely depressed patient asks the nurse "What do you think about the relationship between depression and physical illness? Since my mother has been grieving over my father's death, she has had colds, shingles, and the flu, and
she's usually not one to get sick.". The answer that best reflects the current thinking about psychoimmunology is: a. "It is probably a coincidence. Not much evidence is available that emotions like grieving make one prone to physical illnesses.". b. "You might be paying more attention to your mother since your father died, and you are noticing more things such as minor illnesses.". c. "So far, the research on emotions or stress and becoming ill more easily is unclear—we just do not know for sure if there is a link.". d. "Emotions and stress are believed to interfere with white blood cell production and can increase the likelihood of infectious diseases.".
The nurse has been sued for defamation after charting that the patient is a prostitute. What is the nurse's best defense in this case?
1. Define the contributing factors. 2. Prove that the statement is true. 3. No defense exists for defamation. 4. Provide hearsay evidence.
Clinical terminologies consist of concepts that support which of the following facets of health care? Select all that apply
1. Diagnostic studies 2. History and physical examinations 3. Visit notes 4. Ancillary department information 5. Outcomes measures
Which instruction does the nurse give to the client before he or she has electromyography (EMG)?
a. "Make sure that you have someone to drive you home after the test." b. "Do not eat or drink anything for at least 6 hours before the test." c. "You will have to avoid heavy lifting for 24 hours following the test." d. "Do not take your cyclobenzaprine (Flex-eril) on the 2 days before the test."