The nurse is contributing to the plan of care for a 76-year-old patient with hypertension. Which guideline should be used when following physician orders to treat elevated blood pressure?

a. Increase heart rate slowly.
b. Increase heart rate rapidly.
c. Reduce blood pressure slowly.
d. Reduce blood pressure quickly.


ANS: C
Since older adults may be more sensitive to medications, they should be monitored carefully for adverse effects. The blood pressure should be reduced slowly to prevent complications such as stroke. A. B. Medication to treat high blood pressure does not affect the heart rate. D. Reducing blood pressure quickly could cause adverse effects.

Nursing

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Researchers are working on finding out just what the process is that initiates neurodegeration in diseases like Huntington's disease and multiple sclerosis. The current thought is that neurodegeneration is the result of what?

A) Oxidative stress on the substantia nigra B) Protein aggregation on Lewy bodies C) Protein aggregation on the substantia nigra D) Oxidative stress on Lewy bodies

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On which DSM-IV-TR axis should a nurse expect "rheumatoid arthritis" to be coded?

A) Axis I B) Axis II C) Axis III D) Axis IV E) Axis V

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In which of the following diseases would bone marrow transplantation not be indicated in a newly diagnosed client?

A. Acute lymphocytic leukemia B. Chronic myeloid leukemia C. Severe aplastic anemia D. Severe combined immunodeficiency

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