The nurse recognizes that polypharmacy is more likely to occur in an older adult client because the older client:
a. has difficulty maintaining a list of current medications.
b. experiences changes in visual capability.
c. experiences alterations in mental capacity.
d. may obtain prescribed drugs from various providers.
ANS: D
Polypharmacy is the prescription and administration of many drugs during the same period. This is more likely with the older client, who may see various healthcare providers to manage the health concerns that may accompany aging.
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The first-time mother has been told by the nurse that the first stage of labor is the longest. An appropriate nursing intervention for comfort during this time would be:
a. cool fluids to drink. b. a backrub in the sacral area. c. assisting to lie in a supine position. d. decreasing illumination in the room.
Which is the most developmentally appropriate intervention when working with the hospitalized adolescent?
a. Encourage peers to call and visit when the adolescent's condition allows. b. Encourage the adolescent's friends to continue with their daily activities; the adolescent has concrete thinking and will understand. c. Discourage questions and concerns about the effects of the illness on the adolescent's appearance. d. Ask the parents how the adolescent usually copes in new situations.
Insensible water loss of 800 to 1000 mL/day occurs through the:
1. Intestine and lungs 2. Kidney and skin 3. Kidney and intestine 4. Skin and lungs
Which of the following best explains why every client doesn't receive care from a case manager?
a. Case management time is demanding; thus it is restricted to complex cases. b. Many health agencies do not employ case managers. c. Most clients would not benefit from case management. d. Most nurses do not know how to function as case managers.