As an experienced home health nurse, Beth Rogers is most likely to be concerned about an increased risk of suicide in which of the following clients?
1. Anna Adams, a 69-year-old Caucasian who was widowed 3 years ago and is now being followed for severe asthma
2. Bart Blackwell, a 73-year-old African American who has congestive heart failure (CHF) and whose wife was recently diagnosed with breast cancer
3. Christopher Craft, an 83-year-old Caucasian who lost his wife 1 year ago and is currently being treated for colon cancer
4. Doris Dean, a 76-year-old African American who never married and is being seen following hip replacement surgery
ANS: 3
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During a routine physical examination, an older patient reports having problems falling asleep at night despite engaging in vigorous activities to become tired in the evening. How should the nurse respond to the patient?
1. "You should vary your routine each day." 2. "You should time activities to end within an hour of bedtime." 3. "Exercise is recommended, but it should not be done closer than 3 hours to bedtime." 4. "Lighten your exercise routine in the afternoon; concentrate exercise toward the morning hours."
During an assessment, the nurse learns that an older patient feels his heart race during times of stress. How would the nurse best describe this event?
1. "Your body is reacting with a fight-or-flight response which is normal." 2. "Your body is releasing a chemical to make your heart stronger because it is weak." 3. "This is not a normal response, and further testing will be required." 4. "This is an emergency and will require immediate hospitalization."
Who establishes the "rules" for nursing practice?
a. Individual State Boards of Nursing b. Employer, based on area of practice c. United States Department of Health and Human Services d. Local health officials
What condition is allopurinol (Zyloprim) used to treat?
a. Gout resulting from antineoplastic therapy b. Acute attacks of gouty arthritis c. Cholelithiasis d. First time gout attacks