Because older adults suffer from conditions such as colonic diverticula, hiatal hernia, and ulcerations that can cause occult bleeding, the nurse should assess for symptoms of:

a. leukemia.
b. iron deficiency anemia. c.
sickle cell anemia. d.
polycythemia.


ANS: B
Blood loss is a major cause of iron deficiency in adults. The major sources of chronic blood loss are from the GI and genitourinary systems.

Nursing

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A student nurse is working in the OB clinic as part of a preceptorship. The student is counseling a woman in her first trimester who complains of insomnia due to nasal congestion

Which action by the student warrants intervention by the student's preceptor? A. Advises the woman to use over-the-counter nasal saline spray B. Assesses the patient for other allergy and cold symptoms C. Instructs the woman to use decongestants and antihistamines D. Suggests the woman take a hot, steamy bath at bedtime

Nursing

A patient in the ICU is on a volume ventilator. The nurse recognizes that which of the following are true for this type of ventilator? Select all that apply

A) Peak inspiratory pressure varies from breath to breath and must be monitored closely. B) Amount of pressure depends on patient's lung compliance and patient-ventilator resistance factors. C) The device fits like a tortoise shell, forming a seal over the chest. D) Exhaled tidal volume must be monitored closely. E) Volume varies based on changes in resistance or compliance. F) Small tidal volumes are used at frequencies greater than 100 breaths/minute.

Nursing

Health care providers are required to supply patients with written information regarding their rights to make medical decisions and implement advance directives, which consist of three documents. Which of the following are considered "advanced directives"

(Select all that apply.) a. Living will b. Durable power of attorney c. Health care proxy d. Patient's Bill of Rights e. The Uniform Anatomical Gift Act

Nursing

The nurse is developing a plan of care for a school-age pediatric client. Which goal would be most appropriate for the nurse to include which would demonstrate the child is accomplishing the tasks of Erikson's Stage 4 of development?

1. Watch peers play team sports. 2. Identify one or two pets that would be fun to care for. 3. Complete school homework and have a passing grade within 1 month. 4. Volunteer to help with one or more community projects each week.

Nursing