The older adult asks the nurse how dietary supplements will help support health. What is the best response by the nurse?

1. "Fish oil will help to enhance your brain function."
2. "Chromium will help you achieve and maintain optimum weight."
3. "Dietary supplements will help support and maintain hydration."
4. "Soy isoflavone will help prevent Alzheimer's disease."


1
Rationale 1: Omega-3 fatty acids are neuroprotective and will enhance brain function.
Rationale 2: There isn't any evidence to support that chromium helps with weight maintenance.
Rationale 3: Dietary supplements do not support and maintain hydration.
Rationale 4: Soy isoflavone will help reduce the risk of certain types of cancer but will not help prevent Alzheimer's disease.
Global Rationale: Omega-3 fatty acids are neuroprotective and will enhance brain function. Dietary supplements do not support and maintain hydration. There isn't any evidence to support that chromium helps with weight maintenance. Soy isoflavone will help reduce the risk of certain types of cancer but will not help prevent Alzheimer's disease.

Nursing

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During a shift assessment, the nurse is identifying the client's point of maximum impulse (PMI). Where will the nurse best palpate the PMI?

A) Left midclavicular line of the chest at the level of the nipple B) Left midclavicular line of the chest at the fifth intercostal space C) Midline between the xiphoid process and the left nipple D) Two to three centimeters to the left of the sternum

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Which of the following is the best use of the nurse's time while en route to the client's home?

a. Assess the surrounding neighborhood and the exterior of the client's home b. Begin the client record using a computer or oral recording device c. Look for appropriate places to obtain food, fuel, or rest stops for the nurse d. Consider if another home health agency would be closer to the client's home

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During the first 24 hours postpartum, a client states her vaginal discharge is bright red with small pieces of mucus. Which of these actions should the nurse take?

a. Hold her NPO, and immediately notify her health care provider. b. Observe the sanitary pad, and document your findings. c. Verify that the amount and appearance are normal at this time. d. Compress her fundus vigorously to express clots.

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Which statement is accurate regarding pharmacotherapy in the older adult?

1. Increased body water can lead to a higher risk of drug toxicity. 2. Plasma levels are increased, leading to a heightened drug response. 3. Generally, drug doses should be increased due to prolonged drug metabolism. 4. Drug absorption is slower due to increased gastric pH.

Nursing