A patient is receiving propranolol (Inderal) for hypertension. Which outcome is the best indicator of goal success when considering the drugs potential effect on the patients quality of life?

The patients blood pressure stays within normal limits

The patient experiences no injuries as a result of dizziness

The patient describes symptoms indicative of an adverse drug reaction

The patient verbalizes the importance of moderate exercise

Answer and Explanation

The Correct Answer is B

A.   While controlling blood pressure is the primary goal of propranolol therapy, it doesn't directly address the medication's potential impact on quality of life.
B.   Propranolol, a beta-blocker, is commonly used to treat hypertension. Dizziness is a common side effect of this medication. Therefore, the best indicator of goal success regarding the drug's effect on the patient's quality of life is the absence of injuries related to dizziness. This indicates that the patient is able to manage the side effect and continue their daily activities safely.
C.   If the patient experiences adverse drug reactions, it indicates that the medication is not being tolerated well and may need to be adjusted or discontinued.
D.   While regular exercise is important for overall health, it doesn't directly address the specific goal of improving the patient's quality of life in relation to the medication.

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Correct Answer is ["A","B","C","D"]

Explanation

A. Older women are statistically more likely to live in poverty compared to older men. This is often due to a combination of factors including lower lifetime earnings, career interruptions for caregiving, and less access to pension benefits.
B. Older women are indeed more likely to suffer from multiple chronic diseases such as hypertension, diabetes, and arthritis. Chronic conditions are common in this age group and can significantly impact quality of life. Community programming should include education and resources related to managing chronic diseases, as well as access to preventive care and support services.
C. Older women are more likely to live alone compared to older men. This may be due to longer life expectancy and higher rates of widowhood among women. Programs should address the needs of those living alone, such as social support, community engagement opportunities, and services that mitigate isolation, like social activities or check-in services.
D. Many older women are caregivers for their spouses or other family members. This caregiving role can be physically and emotionally demanding. Community programs should offer support for caregivers, including respite care, counseling services, and caregiver education to help manage stress and prevent burnout.
E. While this can occur, older women are less likely to live with extended families compared to living alone. Living arrangements vary widely, and while some older women may live with extended families, it is not as prevalent as living alone. Community programming should be adaptable to different living situations but may focus more on the needs of those living alone or as caregivers.

A. observing the patient eat a meal that he or she has prepared B. reviewing the components of a healthy diet with the patient C. asking to see what types of foods the patient keeps readily available D. asking the patient to describe what he or she ate for all three meals yesterday

Correct Answer is A

Explanation

A. Observing the patient eat a meal that he or she has prepared provides the nurse with direct, objective information about the patient's nutritional intake. This can help the nurse assess the patient's food choices, portion sizes, and overall dietary habits.
B. While this can be helpful in educating the patient about nutrition, it does not provide direct information about the patient's actual dietary habits.
C. This can provide some insight into the patient's dietary habits, but it may not be a complete picture, as the patient may not eat everything they have on hand.
D. This can provide some information about the patient's dietary intake, but it may be difficult for the patient to recall everything they ate, especially if their memory is impaired.

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A patient is receiving propranolol (Inderal) for hypertension. Which outcome is the best indicator of goal success when considering the drugs potential effect on the patients quality of life?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The gerontologic nurse plans community programming for older women, noting what facts about this population subgroup? (Select all that apply)

Correct Answer is ["A","B","C","D"]

Explanation

During a home visit, a nurse is assessing the nutritional awareness of an older adult patient who lives alone. The nurse is most effective in obtaining objective information when:

Correct Answer is A

Explanation

The nurse in an assisted living facility is practicing a form of cultural bias called ethnocentrism when:

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