Which statement by the student nurse indicates the need for further education regarding pain management in older adults? (Select all that apply).

“Older adults often fear becoming addicted to pain medications.”.

“Older adults often take numerous drugs which can cause interactions with pain medications.”.

“Confusion and delirium can be a more common reaction to certain pain medications in the elderly.”.

“Older adults tolerate the same dosage as do younger individuals.”.

Answer and Explanation

Correct Answer : D

Older adults do not have a different pain mechanism and do not feel it as much as younger individuals. This statement is false and indicates the need for further education regarding pain management in older adults.

Some possible explanations for the other choices are:

Choice A is true because older adults often fear becoming addicted to pain medications and may underreport or deny their pain.

Choice B is true because older adults often take numerous drugs that can cause interactions with pain medications and increase the risk of adverse effects.

Choice C is true because confusion and delirium can be a more common reaction to certain pain medications in the elderly, especially opioids and benzodiazepines.

Normal ranges for vital signs in older adults are similar to those in younger adults, except for blood pressure, which may be higher due to arterial stiffness. The normal range for blood pressure in older adults is 120/80 to 140/90 mm Hg.

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Correct Answer is B

Explanation

Ineffective protection related to chemotherapy side effects. This nursing diagnosis takes priority for a client who is receiving chemotherapy

treatment for cancer because chemotherapy can cause immunosuppression and increase the risk of infection, bleeding, and other complications.

According to the NANDA-I taxonomy, ineffective protection is defined as “decreased ability of an individual to guard the self from internal or external threats such as illness or injury” (NANDA International, 2018).

Choice A is wrong because situational low self-esteem related to job loss due to chemotherapy side effects is not a priority diagnosis for a client who is receiving chemotherapy treatment for cancer. Although chemotherapy can affect the client’s self-image and emotional well-being, it is not a life-threatening condition and can be addressed after ensuring the client’s safety and physiological needs.

Choice C is wrong because anticipatory grieving related to a cancer diagnosis is not a priority diagnosis for a client who is receiving chemotherapy treatment for cancer. Although cancer can cause emotional distress and grief for the client and their family, it is not an immediate threat to the client’s health and can be managed with psychological support and counseling.

Choice D is wrong because fatigue related to cancer treatments is not a priority diagnosis for a client who is receiving chemotherapy treatment for cancer. Although chemotherapy can cause fatigue and weakness, it is not a critical condition and can be alleviated with rest, nutrition, and energy conservation strategies.

A. Wait for the client to volunteer information about any sexual problems they are having. B. Acknowledge the need for intimacy and need to value themselves in sexual relationships. C. Ask if sexual experiences cause any kind of physical or emotional discomfort. D. Discuss any changes in sexual experience or satisfaction since beginning new treatments ordered by care providers.

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

Explanation

The nurse should acknowledge the need for intimacy and value themselves in sexual relationships, ask if sexual experiences cause any kind of physical or emotional discomfort, and discuss any changes in sexual experience or satisfaction since beginning new treatments ordered by care providers.

These actions show respect, empathy, and professionalism towards the client’s sexuality.

Choice A is wrong because waiting for the client to volunteer information about any sexual problems they are having may imply that the nurse is uncomfortable or uninterested in addressing sexuality.

The nurse should initiate the conversation and create a safe and supportive environment for the client to express their concerns.

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Which statement by the student nurse indicates the need for further education regarding pain management in older adults? (Select all that apply).

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which nursing diagnosis takes priority for a client who is receiving chemotherapy treatment for cancer?

Correct Answer is B

Explanation

When a client reports altered sexuality patterns, the nurse should: (Select all that apply).

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

Explanation

A client has lorazepam prescribed before surgery and refuses the injection. If the nurse administers the scheduled injection despite the client’s lack of consent, which term best describes the nurse’s action?

Which is the most appropriate order to remove (doff) personal protective equipment (PPE)?

A client has not voided eight hours after surgery and says to the nurse, “I don’t think I can urinate.” What should be the first action for the nurse?

A nurse is teaching a client about the benefits of exercise. The nurse knows teaching has been effective when the client lists which of the following health benefits of exercise? (Select all that apply).

A son brings his elderly mother to the emergency department and states that she fell today. The nurse notes multiple bruises in all stages of healing all over the client’s body. Which action should the nurse take first?.

Which situation requires a nurse to complete an incident report? The nurse:.

A client in the emergency department who has been raped says repeatedly, “if only I hadn’t worn that sexy dress.” Which response by a nurse is appropriate?

Which physiological change should a nurse expect to observe when assessing an elderly client?