The nurse is administering medications to a group of older residents and monitors them for adverse reactions
The nurse recognizes that an age-related reduction in liver enzyme production affects medication metabolism in which of the following ways? (Select all that apply.)
a. There is increased detoxification of substances.
b. There is a need for an increase in the medication dosage.
c. The metabolism of substances is decreased.
d. The elimination of substances is increased.
ANS: C
B. Reduced drug metabolism and detoxification result. A, C, and D would all be decreased.
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The nurse is caring for a young child in the clinic. The mother tells the nurse the child sleepwalks every night. Which statement by the nurse is appropriate?
1. "Are you concerned the child is not getting enough sleep?" 2. "What time does your child goes to bed at night?" 3. "Is the child experiencing any stress at home?" 4. "What do you know about children who sleepwalk?"
You are caring for a client who is poststapedectomy. What would you include in your nursing care?
A) Place the client on the operative side. B) Keep the affected ear packed with cotton. C) Encourage the client to exercise within 24 hours. D) Assess the facial nerve.
The nurse realizes that a dying child has not mentioned
death. There are some dead flowers in a vase on the child's windowsill. The child looks at the flowers and says, "Did they die?" Which statement would be the most appropriate for the nurse to make to give the child an opportunity to open up and talk about dying? A) "These flowers don't seem to be alive anymore. I'll take them away." B) "These flowers are dead now. What do you think it would be like to die?" C) "I'm going to throw these flowers in the trash, okay?" D) "Well, these flowers aren't very cheerful anymore. I'll get rid of them."
The student nurse is assessing the vital signs of a 10-year-old patient. What are the expected values for pulse (beats per minute), respirations (breaths per minute), and blood pressure (mm Hg) for a patient of this age?
a. Pulse 140, respirations 50, blood pressure 80/50 b. Pulse 100, respirations 40, blood pressure 90/60 c. Pulse 80, respirations 22, blood pressure 100/60 d. Pulse 60, respirations 12, blood pressure 160/90