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Ati n160 hero med surg exam 3
Total Questions : 26
Showing 10 questions, Sign in for moreMrs. Ford, a 78-year-old retired teacher, presents with increasing restlessness, muscle tension, insomnia, and persistent worry following her husband's recent cancer diagnosis. She lives alone and reports that her thoughts "won't shut off at night." Her history includes hypertension, osteoporosis, and mild cognitive impairment (MCI). Medications include lisinopril and calcium/vitamin D. A primary care provider diagnoses late-onset generalized anxiety disorder (GAD).
As the nurse collaborates on her care plan, which intervention is most appropriate based on safety, effectiveness, and age-related considerations?
A nurse is reviewing recent assessments for four older adult clients in a primary care clinic. Based on the data provided, for which client would administering the Alcohol Use Disorders Identification Test (AUDIT) be the most clinically appropriate and evidence-based next step?
A 72-year-old man visits the eye clinic reporting that things look distorted in the center of his vision, straight lines appear wavy. colors seem dull, and he has difficulty recognizing faces. These symptoms have developed gradually over several months. He denies any trauma or previous eye surgery.
Based on these symptoms, which nursing action is most appropriate?
A 50-year-old woman presents to the clinic with a persistent cough and sputum production for the past three months. She reports a history of smoking for 15 years. On examination, there are coarse crackles heard on auscultation, particularly in the lower lung fields. The patient denies any history of wheezing or shortness of breath.
A nurse is preparing to administer lactated Ringer's 400 mL IV bolus to infuse over 3 hr. The drop factor of the manual IV tubing is 20 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Explanation
Formula: (Volume × Drop factor) ÷ Time (min)
= (400mL×20gtt/mL)÷180min
= 8000 ÷ 180
= 44 gtt/min
Sarah, a 55-year-old woman, visits her primary care clinic for a routine check-up. She has a past medical history of hypertension. During the visit, her blood pressure is measured, and the nurse notes it as 200/79 mmHg. Sarah reports occasional headaches but denies any chest pain, shortness of breath, or dizziness. She mentions that she has been under stress lately due to work and family responsibilities. Based on her blood pressure readings and symptoms, the nurse suspects that Sarah's hypertension may be progressing.
Which stage of hypertension is Sarah likely experiencing based on her blood pressure reading and symptoms, and what is the most important action for the nurse to take?
David, a 69-year-old man, visits his primary care clinic for a routine check- up. He has no significant medical history. During the visit, his blood pressure is measured, and the nurse notes it as 140/88 mmHg. David denies any symptoms such as headaches, chest pain, shortness of breath, or dizziness.
Based on his blood pressure reading and absence of symptoms, what is the most appropriate action for the nurse to take regarding David's hypertension status?
Mr. Alvarez, a 78-year-old man with a history of hypertension, is being discharged from the hospital after experiencing a hypertensive crisis. He has been prescribed lisinopril 10 mg daily and is receiving stroke prevention education from the nurse. The nurse reviews lifestyle changes, blood pressure monitoring, and medication safety.
Which of the following statements made by Mr. Alvarez requires follow-up education?
A 55-year-old male presents to the emergency department with complaints of fever, productive cough with yellowish-green sputum, chest pain, and shortness of breath for the past three days. He reports a history of smoking for 30 years. On examination, his temperature is 39°C (102.2°F), respiratory rate is 28 breaths per minute, blood pressure is 140/90 mmHg, and oxygen saturation is 92% on room air. Auscultation reveals crackles in the right lower lung field. Laboratory tests show elevated white blood cell count.
Mrs. Nguyen, a 79-year-old woman, presents to the clinic accompanied by her daughter, who reports that her mother is "not herself lately." Over the past several weeks, Mrs. Nguyen has stopped attending her church group, has expressed feelings of hopelessness, and has unintentionally lost 8 pounds. She denies sadness but admits to feeling "tired all the time." Her past medical history includes hypertension and osteoarthritis.
Which nursing action is most appropriate based on this presentation?
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