The nurse in the oncology clinic is caring for a 42-year-old female client receiving
chemotherapy with fludarabine for acute myeloid leukemia who has developed
petechiae, epistaxis, and ecchymosis.
Client has developed ______________ that the laboratory results will reveal
__________ - ANSWER client has developed hemorrhage that the laboratory
results will reveal thrombocytopenia.
The nurse provides care for a client with a history of atherosclerosis who is
hospitalized for the initiation of pharmacotherapy for the treatment of
hypothyroidism.
The client is at highest risk for developing _______________ as evidenced by
_______________. - ANSWER The client is at the highest risk for developing
cardiac dysfunction as evidenced by angina.
The nurse is caring for a 24-year-old female client with a right tibial fracture
treated with a cast 2 hours ago. The client now reports unrelenting pain, rated as
,7/10, despite taking oxycodone, and decreased sensation in the right foot. A
nursing assessment reveals the right foot is cooler and paler than the left foot, with
delayed capillary refill and a weak pulse.
Why are IV solutions usually given at a slower rate to older adults?
Veins of older adults tend to be rigid.
Older adults may have poor skin turgor.
Older adults often find infusions painful.
Older adults may have cardiac or renal disorders. - ANSWER Older adults may
have cardiac or renal disorders.
An older adult has lost 10% of body weight because of diet changes and exercise.
The nurse would provide anticipatory guidance regarding dosage changes in which
of the client's daily medications based on this weight loss?
Vitamin B and C supplements
Acetaminophen
Aspirin
Diazepam - ANSWER Diazepam
A nurse notes that an older female client has lost 2 inches in height since her
appointment last year. The client reports lumbar back pain as unchanged. Which of
the following would the nurse instructs the client? Select all answers that apply.
Increase intake of foods that are high in calcium.
,Decrease the frequency of any exercise.
Allow for additional phosphorus intake in her daily diet.
Obtain the prescribed bone density screening.
Take calcium and vitamin D supplements daily. - ANSWER Increase intake of
foods that are high in calcium.
Take calcium and vitamin D supplements daily.
Obtain the prescribed bone density screening.
Which condition is characterized by a decline in intellectual functioning?
Delirium
Depression
Dementia
Delusion - ANSWER Dementia
An older adult who is scheduled for the annual influenza vaccination has yet to
receive the pneumococcal vaccination. Which action will the nurse take when the
client is prescribed to receive both vaccinations?
Mix the vaccines in a syringe before administering as one injection in order to
minimize client discomfort.
Give the client the influenza vaccine first and then administer the pneumococcal
vaccine in another site.
Give the pneumococcal vaccine first and schedule the client to return the next day
for the influenza vaccine.
, Give the influenza vaccine and schedule the client to return in a week for the
pneumococcal vaccine. - ANSWER Give the client the influenza vaccine first
and then administer the pneumococcal vaccine in another site.
The following information is documented on the assessment form for an older
adult:
Kyphosis
Dry mucous membranes
Decreased respiratory excursion
Urinary incontinence
The nurse is reviewing the information and reports which finding to the physician?
- ANSWER Urinary incontinence
Which assessment finding by the nurse and statement by an older adult would
require the nurse to report suspected elder abuse?
Diabetic with fasting blood sugar 92; "It is difficult to afford food with all of these
medication costs."
Obvious deformity to right arm; "I tripped on the rug and fell on my arm."
BMI 24; "My family never gives me my favorite foods."
Stage II decubitus ulcer on coccyx; "No one is able to turn or lift me anymore." -
ANSWER Stage II decubitus ulcer on coccyx; "No one is able to turn or lift me
anymore."
A client reports to the nurse that her mother had macular degeneration and is
concerned that she, too, may be at risk. What should the nurse tell the client?
chemotherapy with fludarabine for acute myeloid leukemia who has developed
petechiae, epistaxis, and ecchymosis.
Client has developed ______________ that the laboratory results will reveal
__________ - ANSWER client has developed hemorrhage that the laboratory
results will reveal thrombocytopenia.
The nurse provides care for a client with a history of atherosclerosis who is
hospitalized for the initiation of pharmacotherapy for the treatment of
hypothyroidism.
The client is at highest risk for developing _______________ as evidenced by
_______________. - ANSWER The client is at the highest risk for developing
cardiac dysfunction as evidenced by angina.
The nurse is caring for a 24-year-old female client with a right tibial fracture
treated with a cast 2 hours ago. The client now reports unrelenting pain, rated as
,7/10, despite taking oxycodone, and decreased sensation in the right foot. A
nursing assessment reveals the right foot is cooler and paler than the left foot, with
delayed capillary refill and a weak pulse.
Why are IV solutions usually given at a slower rate to older adults?
Veins of older adults tend to be rigid.
Older adults may have poor skin turgor.
Older adults often find infusions painful.
Older adults may have cardiac or renal disorders. - ANSWER Older adults may
have cardiac or renal disorders.
An older adult has lost 10% of body weight because of diet changes and exercise.
The nurse would provide anticipatory guidance regarding dosage changes in which
of the client's daily medications based on this weight loss?
Vitamin B and C supplements
Acetaminophen
Aspirin
Diazepam - ANSWER Diazepam
A nurse notes that an older female client has lost 2 inches in height since her
appointment last year. The client reports lumbar back pain as unchanged. Which of
the following would the nurse instructs the client? Select all answers that apply.
Increase intake of foods that are high in calcium.
,Decrease the frequency of any exercise.
Allow for additional phosphorus intake in her daily diet.
Obtain the prescribed bone density screening.
Take calcium and vitamin D supplements daily. - ANSWER Increase intake of
foods that are high in calcium.
Take calcium and vitamin D supplements daily.
Obtain the prescribed bone density screening.
Which condition is characterized by a decline in intellectual functioning?
Delirium
Depression
Dementia
Delusion - ANSWER Dementia
An older adult who is scheduled for the annual influenza vaccination has yet to
receive the pneumococcal vaccination. Which action will the nurse take when the
client is prescribed to receive both vaccinations?
Mix the vaccines in a syringe before administering as one injection in order to
minimize client discomfort.
Give the client the influenza vaccine first and then administer the pneumococcal
vaccine in another site.
Give the pneumococcal vaccine first and schedule the client to return the next day
for the influenza vaccine.
, Give the influenza vaccine and schedule the client to return in a week for the
pneumococcal vaccine. - ANSWER Give the client the influenza vaccine first
and then administer the pneumococcal vaccine in another site.
The following information is documented on the assessment form for an older
adult:
Kyphosis
Dry mucous membranes
Decreased respiratory excursion
Urinary incontinence
The nurse is reviewing the information and reports which finding to the physician?
- ANSWER Urinary incontinence
Which assessment finding by the nurse and statement by an older adult would
require the nurse to report suspected elder abuse?
Diabetic with fasting blood sugar 92; "It is difficult to afford food with all of these
medication costs."
Obvious deformity to right arm; "I tripped on the rug and fell on my arm."
BMI 24; "My family never gives me my favorite foods."
Stage II decubitus ulcer on coccyx; "No one is able to turn or lift me anymore." -
ANSWER Stage II decubitus ulcer on coccyx; "No one is able to turn or lift me
anymore."
A client reports to the nurse that her mother had macular degeneration and is
concerned that she, too, may be at risk. What should the nurse tell the client?
