Albumin and Nurse

RANGER COLLEGE Semester one Re-Entrance Examination Half 1 Questions pertaining to Gerontology: 1. The nurse cautions that probably the most frequent response to elder abuse by the abused older grownup is a. angerc. notification of authorities b. bodily retaliation d. nothing in any respect 2. The nurse would anticipate that an individual with a hemorrhagic CVA to the left hemisphere would exhibit a. language disturbancesc. inappropriate have an effect on b. poor impulse controld. confabulation three. The nurse caring for the older grownup affected person who’s taking a diuretic for management of hypertension ought to monitor the affected person carefully for indicators of a. hypokalemiac. yponatremia b. hypocalcemiad. hyperkalemia four. The doctor has written an order to transform an enteric-coated remedy from the tablet type to the liquid type. The nurse ought to a. transcribe the order and change the remedy administration document to indicate the liquid type b. expend the remainder of the tablets by crushing them and giving them dissolved in water c.

order the liquid for from the pharmacy as ordered d. inquire if the doctor desires the dose to be the identical because the tablet 5. The nurse acknowledges that a main indicator of a constructive self-image in an older grownup residing in a long-term care facility is a. eeding self independently c. having household guests each week b. sustaining urinary continenced. neat grooming and sporting recent garments 6. When the 80-year-old Orthodox Jewish man dies within the hospital, the nurse ought to a. notify the rabbi to ship a member of the synagogue to stick with the physique b. inform the mortuary concerning the need of the affected person to be cremated c. put together the physique for the ritual tub by temple members earlier than embalming d. facilitate elimination of the physique as a result of burial should happen 48 hours after dying 7. Essentially the most important laboratory worth that might alert the nurse to possible malnutrition can be a . excessive hemoglobin stage (18 g/dl) c. excessive hematocrit stage (51%) b low white blood cell depend (5000/mm3) d. low serum albumin stage (2. eight g/dl) eight. The nurse would Question Assignment the order for lorazepam (Ativan), 5 mg at bedtime, for a affected person with a. persistent obstructive pulmonary illness (COPD) c. hypertension b. any type of dementiad. sleep apnea 9. The completely competent 76-year-old feminine with terminal most cancers is fatigued and tearful concerning the ineffectiveness of her remedy. She tells the nurse that she needs she had by no means began it however now feels obligated to proceed.

The nurse explains that a as soon as remedy has begun, the physician ought to determine about any adjustments b. she could change her thoughts about remedy at any time c. choices about remedy must be made by the one that is her medical energy of legal professional d. cessation of remedy will shorten her life 10. A affected person who’s terminally sick has been unable to take care of good diet due to nausea and anorexia and has misplaced an excessive amount of weight. He’s now unable to alter his place in mattress and wants frequent perineal due to urinary incontinence.

The nurse planning his care would most significantly a. coax him to eat high-calorie, high-fat dietary supplements and, if he’s unable to eat no less than three,000 energy/day, request the medical doctors permission to tube feed him that quantity b. be alert to his want for laxatives and stool softeners to stop constipation c. place suction within the room for the eventual dyspnea and choking he’ll expertise d. place an air stress mattress, flip and place the affected person each 2 hours, and preserve his pores and skin dry and clear to stop breakdown