Restraint straps are secured:

a. To the bed rails
b. Within the person's reach
c. To the movable part of the bed frame out of the person's reach
d. To the footboard or headboard


C

Nursing

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Based on changes in hepatic function in older adult patients, which adjustment should the nurse expect for oral medications that undergo extensive first pass metabolism?

a. A higher dose should be used with the same time schedule. b. The interval between doses should be in-creased. c. No change is necessary; metabolism will not be affected. d. The interval between doses should be re-duced.

Nursing

The nurse understands that which of these clients is the most appropriate candidate for metoclopramide therapy?

a. a postoperative client with nausea c. a client debilitated by a stroke b. a child with cystic fibrosis d. a school teacher with GERD

Nursing

A nurse is caring for an elderly patient who is incontinent. Which of the following effects of aging might contribute to urinary alterations? Select all that apply

A) Diminished ability of kidneys to concentrate urine may result in nocturia. B) Decreased bladder muscle tone may reduce the capacity of the bladder to hold urine. C) Decreased bladder contractility may lead to urine retention and stasis. D) Neuromuscular problems may interfere with voluntary control of urination. E) Increased bladder motility decreases the incidence of urinary tract infections F) Altered thought processes may cause urinary frequency

Nursing

A patient diagnosed with a serious mental illness died suddenly at age 52. The patient lived in the community for 5 years without relapse and held supported employment the past 6 months. The distressed family asks, "How could this happen?"

Which response by the nurse accurately reflects research and addresses the family's question? a. "A certain number of people die young from undetected diseases, and it's just one of those sad things that sometimes happen." b. "Mentally ill people tend to die much younger than others, perhaps because they do not take as good care of their health, smoke more, or are overweight." c. "We will have to wait for the autopsy to know what happened. There were some medical problems, but we were not expecting death." d. "We are all surprised. The patient had been doing so well and saw the nurse every other week."

Nursing