The nurse is aware that physical illness increases stress in many older adults because physical illness:
a. is an acceptable reason to request relief.
b. takes away energy to cope with new stressors.
c. stimulates the family to be more attentive.
d. most often has a clear pharmaceutical remedy.
ANS: B
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A patient is being monitored by continuous ECG after placement of a transvenous pacemaker. "Loss of capture" is seen on the ECG. Which nursing intervention may correct this situation?
a. Position the patient on the left side. c. Increase the rate as ordered. b. Decrease the milliamperes as ordered. d. Monitor the patient in a different lead.
An older client with asthma is prescribed a rescue inhaler of albuterol. What should the nurse instruct the client about using this medication? Select all that apply.
1. Refrigerate unused canisters until needed. 2. Metered dose inhalers must be used with a spacer. 3. Label each canister with bright red tape. 4. Obtain a prescription for extra canisters. 5. Keep inhalers in multiple areas in the home.
Which should the nurse consider when administering an injection of ferrous sulfate intramuscularly to a client?Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.
A. Give the injection in the deltoid muscle. B. Iron is best absorbed if given subcutaneously. C. Iron is irritating to the tissues. D. The z-track method should be used. E. Iron preparations should be administered through a needle gauge 16 or larger.
During the termination phase, a client begins to raise old problems that have already been resolved. Which of the following would be the most appropriate nursing response? Select all that apply
A) Immediately stop the client and inform them that the nurse is running the session. B) Get angry at the client and ask them to leave the session. C) Reassure the client that they already covered these issues. D) Review with the client the learned methods to control the problems. E) Do not acknowledge this issue and continue on with the session as planned.