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Many challenges face the older adult client. A client tells the nurse of concerns about finances since
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retirement. The client shares difficulties that are being experienced because of limited financial resources.
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Based on these data and the challenges for older people, what data would be most accurate for
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incorporation of a discussion about finances for the client? - ANSWER-✔✔Discuss the reality of living on a
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fixed income and how the client's lifestyle might have to change.
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Which is the correct sequence for bladder training with closed urinary drainage? - ANSWER-✔✔Educate
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patient Informed consent or signed consent Supine position
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Head of bed elevated
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Follow correct precautions v v v
Clamp catheter v v
Allow catheter to drain
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Record drainage v
document
For which clients is digital removal of feces contraindicated? - ANSWER-✔✔When a client has cardiac
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conditions and after reproductive surgery, abdominal repair, rectal surgery, colostomy, and genitourinary
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surgery, also when the client is receiving radioactive isotope therapy or perineal perfusion of anticancer
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drugs.
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Clients with bleeding tendency (rectal or vaginal), nor pregnant women.
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Vagal nerve condition
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Age is more than an accumulation of years. The aging process affects people in different ways. To fully adapt
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to aging and thrive in this new stage, older adults must confront many lifestyle changes. A student nurse has
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,been asked to prepare a post clinical report on lifestyle changes in the older and aging population. What
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lifestyle changes should the student nurse incorporate into the report? - ANSWER-✔✔General change in
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physiologic, psychological, and sociologic functions and roles
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Change in most body functions and abilities
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Adaptation to chronic physical or emotional disorders Change in employee or employer role
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Greater amount of leisure time
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Reduction of income v v
What is the function of the hypothalamus in the endocrine system? - ANSWER-✔✔Release hormones that
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either inhibit or promote release of other hormones from the anterior lobe of the pituitary.
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Know the rights of clients about their prescribed medications. - ANSWER-✔✔Dose, drug, person, route,
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time, documentation, correct pump programming.
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A nurse is preparing to administer Xylocaine to a client. The medication is packaged in an ampule. What
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should the nurse do with the unused portion of the Xylocaine? - ANSWER-✔✔Properly discard the
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remaining medication.
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A couple with young children asks the nurse about the factors that contribute to a strong family unit. What
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instruction is of the highest priority for the nurse to provide to the parents? - ANSWER-✔✔Shared
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roles/dual parenting
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Know the differences between enteral and parenteral medication administration. - ANSWER-✔✔Enteral is
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through a tube, parenteral is through an IV/not through the GI tract.
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Which hormones are released by the adrenal medulla that mimics the action of the sympathetic nervous
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system? - ANSWER-✔✔Norepinephrine and epinephrine.
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Which pain medication classification would be appropriate for the nurse to administer to the client with
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moderate to severe pain? - ANSWER-✔✔Narcotic analgesic
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, What condition would lead inadequate erythropoietin production? - ANSWER-✔✔Anemia, and renal
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failure.
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Which symptoms of circulatory overload should the nurse carefully monitor the client during and after a tap
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water enema is administered? - ANSWER-✔✔SXS circulatory overload: hypertension, edema, tachycardia,
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dyspnea, pulmonary edema (hear fluid in lungs)
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Check vital signs- BP, HR v v v v
Which technique is appropriate for the placement of a urinary catheter prior to surgery into a client? -
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ANSWER-✔✔Sterile technique
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A nurse is explaining cognitive development in children to a client, with the help of Piaget's theory of
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cognitive development. What would be the best explanation by the nurse about the formal operations level
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of cognitive development? - ANSWER-✔✔Complex problem solving
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The nurse is administering prescribed medication to an elderly client who tells the nurse that "this is not the
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color of the pill I normally take." What action should the nurse take in this situation? - ANSWER-✔✔Verify
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that the order is correct and explain that pills can change in shape and color depending on the manufacturer.
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What is the best description of chronic pain based on the categories identified by The International
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Association for the Study of Pain (IASP)? - ANSWER-✔✔Pain that continues for 6 months or more, this can be
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persistent, intermittent or limited.
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Which individual exerts the most lasting influence on the ongoing development of the adolescent? -
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ANSWER-✔✔Peer group/another teenager
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At which level would anabolic steroids be placed according to the DEA classification system of Schedule of
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Controlled Substances? - ANSWER-✔✔Class C schedule 3 drugs
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