The geriatric nurse recognizes that the bodys homeostatic mechanisms may be compromised in the:

69-year-old with peripheral vascular disease who is visited by home health care weekly.

73-year-old with a history of chronic bronchitis who lives with family.

86-year-old who lost a spouse and is moving into an assisted living facility.

79-year-old with moderate Alzheimer disease who requires assistance with all activities of daily living (ADLs)

Answer and Explanation

The Correct Answer is D

A.   Peripheral vascular disease (PVD) impairs blood flow to the extremities, which can affect the body's ability to regulate temperature, heal wounds, and manage cardiovascular function. Despite having regular home health care, which helps with monitoring and managing the condition, PVD still poses challenges to maintaining homeostasis.
B.   Chronic bronchitis is a type of chronic obstructive pulmonary disease (COPD) that impairs lung function and impacts the body's ability to exchange gases efficiently. This condition can lead to chronic hypoxemia (low oxygen levels) and hypercapnia (elevated carbon dioxide levels), which directly affect homeostasis.
C.   This individual is undergoing significant life changes, including bereavement and relocation, which can affect emotional and physiological well-being. While these stressors can impact overall health, they are less directly related to physiological processes that maintain homeostasis compared to chronic physical conditions.
D.   Alzheimer’s disease leads to significant cognitive decline, which impairs the ability to perform daily activities and manage personal health. This cognitive impairment can result in a reduced ability to recognize and respond to physiological needs, which compromises homeostatic mechanisms. The need for assistance with all ADLs indicates severe functional impairment, making this patient highly vulnerable to disruptions in homeostasis due to their inability to self-manage health and daily activities effectively.

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Correct Answer is B

Explanation

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.

A. Limit the number of visitors the patient can have B. Suggest shorter visits to the patients visitors C. Require visitors to check in at the front desk D. Only allow family members to visit the patient

Correct Answer is B

Explanation

A. Limiting the number of visitors may be a necessary step if the patient is becoming overwhelmed or tired. However, this approach might not consider the cultural significance of extended family and community in Arab American culture, where family involvement is often highly valued.
B. Suggesting shorter visits is a more balanced approach. It acknowledges the patient's need for rest while still respecting the importance of family and community involvement. This action can help manage the patient's fatigue while allowing them to maintain cultural and familial connections. It’s a compromise that accommodates both the patient's health needs and cultural values.
C. Requiring visitors to check in at the front desk can help manage visitor flow and ensure that the patient is not overwhelmed. However, this action does not directly address the issue of visitor duration or frequency, which might still lead to patient fatigue. It also might not align with cultural expectations of openness and hospitality in Arab American culture, where family and visitors are often seen as central to the patient’s well-being.
D. Allowing only family members to visit might help reduce the number of visitors and ensure that the patient receives support from those closest to them. However, this approach may be too restrictive and could potentially isolate the patient from their broader support network, which might be an important aspect of their cultural practices. It also does not address the underlying issue of managing visitor fatigue.

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The geriatric nurse recognizes that the bodys homeostatic mechanisms may be compromised in the:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is B

Explanation

A nurse is caring for an Arab American patient in the hospital. The patient has many visitors who seem to be tiring the patient. What action by the nurse is best?

Correct Answer is B

Explanation

The nurse is preparing to apply a topical cream on the arm of a cognitively impaired, anorexic older adult patient in the terminal stage of lung cancer. The nurse carefully monitors the effectiveness of the medication because its effectiveness will be most negatively impacted by the patient's:

An older adult patient is having difficulty remembering when to take several of the prescribed medications. To improve the patient's compliance with the medication regimen, the nurse.

What is the term for the commission of an act that a prudent nurse should not have done, or the omission of an act a prudent nurse should have done, that results in injury or harm to another person?

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:

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

A nurse planning primary disease prevention interventions for a 64-year-old patient includes which of the following? Select all that apply.

The nurse is caring for an older patient with hypothyroidism and receives an order to administer 0.25 mg of levothyroxine sodium (Synthroid) PO every morning before breakfast. The nurse has on hand 100 mcg/tablet. How many tablet(s) should the nurse administer?