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Based on annual physical assessments, an older adult female's blood pressure readings have changed from 120/82 to 155/86 mm Hg over the past two years. The practical nurse (PN) should recognize which factors in the client's history are likely to be associated with this finding? (Select all that apply.)
A History of diabetes mellitus.
B Hyperlipidemia.
C Leads an aerobics class.
D Increase in age.
E Body mass index of 22.
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- The nurse is to administer a medication to a hospitalized client . Which of the following factors should a nurse consider when administering medications to an older adult ? (Select all that apply .) a. Altered peripheral venous tone An increased number of protein -binding sites b. An increased difficulty with the penetration of fat -soluble drugs c. A decline in enzyme production needed for drug metabolism d. An increased gastric emptying time e. A decline in liver functionFatima is a 43 year old lady with a diagnosis bipolar affective disorder and usually manages her Type 1 diabetes with minimal support. She is currently hypomanic and reports that she has not slept for more than 3 hours in the last 5 days. A) Explain your understanding of Type 1 and 2 diabetes. B) Why might Fatima's current hypomanic presentation present additional risks to her physical health? C) What interventions would you suggest in this situation? Please justify your answer.A nurse prepares to administer a scheduled dose of labetalol by the mouth to a client with hypertension, heart rate ie 48 betas/min, respirations 16 breaths/min, and blood pressure 150/90 A. Administer the dose and monitor the client BP regularly B. Apply a telemetry monitor before administering the dose C. Assess for orthostatic hypotension before administrating the dose D. Withhold the scheduled dose and notify the healthcare prescriber
- A client is receiving an intravenous magnesium infusion to correct a serum level of 1.4 mEq/L. Which of the following assessments would alert the nurse to immediately stop the infusion? A. Absent patellar reflex C. Premature ventricular contractions B. Diarrhea D. Increase in blood pressure Rationale: Reference/s:A nurse witnesses a street robbery and is assessing a 26-year-old female patient who is the victim. The patient has minor scrapes and bruises and tells the nurse, “I’ve never been soscared in my life.” What other symptoms would the nurseexpect to find related to the fight-or-flight response to stress?Select all that apply.a. Increased heart rateb. Decreased muscle strengthc. Increased mental alertnessd. Increased blood glucose levelse. Decreased cardiac outputf. Decreased peristalsisWhen administering beta blockers, the nurse will follow which guideline for administration and monitoring?a) The drug may be discontinued at any time.b) Postural hypotension rarely occurs with this drug.c) Tapering off the medication is necessary to prevent rebound hypertension.d) The patient needs to stop taking the medication at once if he or she gains 3 to 4 pounds in a week
- SCENARIO: Aubrey, 19 years old, an incoming college freshman student went to Ateneo De Manila Health Services for physical examination. The nurse gathered the following information: Height: 5 ft Weight: 48 kg Vital signs: Temp 37.2C, Pulse rate: 95 beats per minute, Respiration rate: 12 breaths per minute, and BP: 100/70mmHg. Family History of illness: Father (+) Hypertension (HPN), and Diabetes Mellitus (DM) Present Health History: Aubrey never experienced to get hospitalized as far as she can remember. Her mother ensures that she takes daily supplemental vitamins such as vitamin C and B complex, and every year she gets flu vaccine from their family doctor. During the interview with the nurse, Aubrey mentioned that she has no known allergies. She said “I don’t think I have any problems with my health. I am lacto-ovo vegetarian. Most of the time I hang out with my friends for a tea or coffee. Although I think everything’s okay, I still would like to be active, and do activities that…SCENARIO: Aubrey, 19 years old, an incoming college freshman student went to Ateneo De Manila Health Services for physical examination. The nurse gathered the following information: Height: 5 ft Weight: 48 kg Vital signs: Temp 37.2C, Pulse rate: 95 beats per minute, Respiration rate: 12 breaths per minute, and BP: 100/70mmHg. Family History of illness: Father (+) Hypertension (HPN), and Diabetes Mellitus (DM) Present Health History: Aubrey never experienced to get hospitalized as far as she can remember. Her mother ensures that she takes daily supplemental vitamins such as vitamin C and B complex, and every year she gets flu vaccine from their family doctor. During the interview with the nurse, Aubrey mentioned that she has no known allergies. She said “I don’t think I have any problems with my health. I am lacto-ovo vegetarian. Most of the time I hang out with my friends for a tea or coffee. Although I think everything’s okay, I still would like to be active, and do activities that…A nurse is assessing the vital signs of patients who presentedat the emergency department. Based on the knowledge ofage-related variations in normal vital signs, which patientswould the nurse document as having a normal vital sign?Select all that apply.a. A 4-month old infant whose temperature is 38.1°C(100.5°F)b. A 3-year old whose blood pressure is 118/80c. A 9-year old whose temperature is 39°C (102.2°F)d. An adolescent whose pulse rate is 70 bpme. An adult whose respiratory rate is 20 bpmf. A 72-year old whose pulse rate is 42 bpm
- A nurse reviews a patient's blood pressure measurements over the past 12 hours and recognizes that the blood pressure has been elevated. The clustering of these data represents: A. wisdom. B. a data set. C. information. D. a diagnosis.A patient of Japanese descent describes a family trait that manifests frequently: She says that members of her family often have “strong reactions” after taking certain medications, but her white friends have no problems with the same dosages of the same drugs. The nurse recognizes that, because of this trait, which statement applies? a )She may need lower dosages of the medications prescribed. b )She may need higher dosages of the medications prescribed. c )She should not receive these medications because of potential problems with metabolism. d )These situations vary greatly, and her accounts may not indicate a valid cause for concernThe nurse instructor is teaching student nurses about the factors that may affect a patient’s blood pressure. Which state-ments accurately describe these factors? Select all that apply. a. Blood pressure decreases with age.b. Blood pressure is usually lowest on arising in the morning.c. Women usually have lower blood pressure than men untilmenopause.d. Blood pressure decreases after eating food.e. Blood pressure tends to be lower in the prone or supineposition.f. Increased blood pressure is more prevalent in AfricanAmericans.