Blood pressure abnormalities found more commonly in Western elderly include which of the following?

A) Isolated elevation of the diastolic BP
B) Narrow pulse pressure
C) Elevation of the systolic BP
D) Elevation of the BP with standing


C) Elevation of the systolic BP

Isolated systolic hypertension is common in the elderly because of stiffening of the large arteries. This is often accompanied by widening of the pulse pressure. Orthostatic BP changes are often seen with postural changes and can account for falls as well.

Nursing

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A nurse is planning care for a patient who is taking tolterodine. Which of the following is an appropriate nursing diagnosis that is an indication for using this drug?

A) Risk for Injury related to multiple drug therapies and drug interactions B) Risk for Injury related to hyperkalemia secondary to use of the drug C) Altered Urinary Elimination related to overactive bladder D) Risk for Deficient Fluid Volume related to the action of the drug

Nursing

You are caring for a patient on the oncology floor with a diagnosis of metastatic brain cancer. During your assessment, you note the patient complains of abdominal pain. Skin turgor indicates dehydration is present

What would you further assess for in this patient? A) Hypernatremia B) Hypomagnesemia C) Hypophosphatemia D) Hypercalcemia

Nursing

An older adult patient who has cancer and Alzheimer's disease is crying but shakes her head "no" when asked about pain. The prescriber has ordered morphine sulfate 2 to 4 mg IV every 2 hours PRN pain

It has been 4 hours since a dose has been given. What will the nurse do? a. Administer 4 mg of morphine and monitor this patient's verbal and nonverbal res-ponses. b. Give 2 mg of morphine for pain to avoid increasing this patient's level of confusion. c. Request an order for a nonopioid analgesic or an antidepressant adjuvant analgesic. d. Withhold any analgesic at this time and reassess the patient in 30 to 60 minutes.

Nursing

Which of the following is the best intervention for a client who is illiterate?

a. Speak loudly and clearly. b. Use symbols and images. c. Personalize speech by using first name. d. Use touch with speech.

Nursing