A nurse practitioner is caring for a 90-year-old adult with asthma who has comorbid dementia and severe osteoarthritis in the hands. The nurse practitioner considers inhaled medications to manage the asthma
Which of the following factors should the nurse take into consideration when developing the medication plan for this patient? (Select all that apply.)
a. The patient's ability to swallow safely
b. The patient's manual dexterity
c. The patient's age
d. The patient's cognitive status
e. The patient's mobility status
ANS: B, D
Inhaled medications may be taken a number of ways. When choosing which method to order, the prescriber needs to consider the manual dexterity of the patient as well as the cognitive ability to follow directions. The patient's age, ability to swallow, and mobility do not directly impact the ordering of inhaled medications.
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A) "I can't believe you are worried about that so soon after your surgery." B) "You won't be able to resume sexual activity until your 6-month checkup with the surgeon." C) "In about 2 to 4 weeks if you are able to climb stairs without difficulty breathing or chest pain." D) "You may have a difficult time resuming sexual activities after this surgery."
The nurse who demonstrates caring while providing client care will assist the client in which of the following ways?
a. Minimize the need for spiritual support b. Accept that there is no meaning in the illness c. Make all care decisions for the client d. Mobilize hope for both the client and the nurse
A patient scheduled for an initial ECT (electroconvulsive therapy) treatment asks a nurse, "Isn't the electrical current dangerous?" Which response would be the most therapeutic?
a. "The amount of electricity is very small and used for only a few seconds.". b. "The chance of you being shocked is minimal; you won't feel anything.". c. "There's a small chance of something going wrong; the risk is about the same as with minor surgery.". d. "You're worried about being electrocuted, aren't you? Don't worry; there is no chance of that happening.".