You graduated 3 months ago and are working with a home care agency. One patient in your caseload is
What will be an ideal response?
J.S., a 60-year-old man with chronic obstructive pulmonary disease (COPD) related to cigarette smoking.
He has been on home oxygen, 2 L oxygen by nasal cannula, for several years. Approximately 10 months
ago, he started on chronic oral steroid therapy. His current medications include an ipratropium/albuterol
(Combivent) inhaler, beclomethasone (Beclovent) inhaler, dexamethasone (Decadron), digoxin (Lanoxin),
and furosemide (Lasix).
On the way to J.S.'s home, you make a mental note to check him for signs and symptoms of
Cushing syndrome. Why?
Cushing syndrome, caused by too high a level of glucocorticoid in the body, is most commonly
iatrogenic, associated with long-term therapy with synthetic glucocorticoids such as Decadron.
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The nursing assistants who work the day shift have requested that they be assigned the same group of residents every day that they work. Which of the following is a negative aspect of this proposal?
a. Potential for residents to have increased interpersonal bonding with a nursing assistant b. Potential for residents to become accustomed to a certain routine c. Potential for residents to develop a sense of being part of the team that plans their indi-vidual care d. Potential for a demanding resident to "burn out" a nursing assistant who is routinely assigned to care for him or her
A patient has been prescribed lovastatin for a high cholesterol level. The nurse's teaching plan will include a basic explanation of how the drug produces its therapeutic effect
The nurse will explain that lovastatin lowers cholesterol levels because it A) is a hormone. B) is a bile-acid resin. C) inhibits cholesterol syntheses. D) consists of a fibric acid derivative.
Which of the following best explains why many elderly women do not prepare meals or do housework?
a. Chronic diseases, especially arthritis and rheumatism, hinder their ability. b. Living in a nursing home does not require them to do so. c. They do not want to; their husbands can share in the work. d. With Social Security, they can afford to pay someone else to do these tasks.
A parent complains that his child "won't tie her shoes even though she's capable of doing it.". Which response by a nurse is most therapeutic?
a. "Why is it so important to you that she tie her shoes?" b. "What have you done to try to encourage her to tie her shoes?" c. "Let your daughter go with her shoes untied. Don't you think she will soon tire of tripping over her shoelaces?" d. "It sounds as if your daughter is seeking attention. How much quality time do you typically spend with her each day?"