Concepts for Nursing Practice Giddens Test Bank

Questions 14

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Concepts for Nursing Practice Giddens Test Bank Questions

Question 1 of 5

Both a 40-year-old male and a 70-year-old male are placed on anticoagulant therapy after diagnosis of a deep vein thrombosis (DVT). When providing teaching to these clients about their medication, how should the nurse individualize care for each?

Correct Answer: A

Rationale: The correct answer is that the younger client will need more frequent monitoring than the older client. This is because age can influence how the body processes medications, including anticoagulants. While older adults may require lower dosages due to changes in metabolism and potential increased sensitivity to medications, they may still require less monitoring than younger individuals. The younger client may need more frequent monitoring to ensure the anticoagulant is being effective and not causing any adverse effects, given variations in metabolism and potential multi-drug interactions. Age is just one factor to consider when individualizing care for clients on anticoagulant therapy, and close monitoring is essential for both age groups.

Question 2 of 5

A client recovering from an acute myocardial infarction is prescribed aspirin. Which teaching points should the nurse include regarding this prescription? Select all that apply.

Correct Answer: B

Rationale: B. Check with your healthcare provider before taking herbal remedies: It is important to consult with a healthcare provider before taking any herbal remedies while on aspirin therapy. Herbal remedies can potentially interact with aspirin and affect its efficacy or increase the risk of side effects.

Question 3 of 5

Both a 40-year-old male and a 70-year-old male are placed on anticoagulant therapy after diagnosis of a deep vein thrombosis (DVT). When providing teaching to these clients about their medication, how should the nurse individualize care for each?

Correct Answer: A

Rationale: The correct answer is that the younger client will need more frequent monitoring than the older client. This is because age can influence how the body processes medications, including anticoagulants. While older adults may require lower dosages due to changes in metabolism and potential increased sensitivity to medications, they may still require less monitoring than younger individuals. The younger client may need more frequent monitoring to ensure the anticoagulant is being effective and not causing any adverse effects, given variations in metabolism and potential multi-drug interactions. Age is just one factor to consider when individualizing care for clients on anticoagulant therapy, and close monitoring is essential for both age groups.

Question 4 of 5

The nurse is completing a health history with a young adult patient diagnosed with acute postinfectious glomerulonephritis. When focusing on recent health problems, about which disease process should the nurse ask the patient?

Correct Answer: A

Rationale: Acute postinfectious glomerulonephritis is commonly associated with a preceding streptococcal infection, particularly strep throat. This inflammatory condition affects the glomeruli in the kidneys and can result in symptoms such as hematuria, proteinuria, hypertension, and edema. Therefore, asking the patient about recent strep throat can help establish a potential link to the development of acute postinfectious glomerulonephritis.

Question 5 of 5

The nurse is concerned after performing a neurovascular assessment on an older patient with a lower arm cast. Which finding caused the nurse to become concerned?

Correct Answer: A

Rationale: A neurovascular assessment is performed to evaluate nerve function, circulation, and tissue perfusion. Pale, cold fingers indicate poor circulation, which can be a sign of compromised blood flow from the cast causing decreased oxygen supply to the tissues. This finding is concerning as it suggests potential nerve or vascular compromise, which could lead to serious complications if not addressed promptly. It is important for the nurse to report this finding to the healthcare provider for further evaluation and intervention.

Similar Questions

The nurse is concerned after performing a neurovascular assessment on an older patient with a lower arm cast. Which finding caused the nurse to become concerned?
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A client who had outpatient surgery is given an instruction sheet in preparation for discharge. When the nurse asks if the instructions are clear, the client says, "I'll read them later when I have my glasses; besides, you told me everything I need to know." Based on these statements, what would the nurse suspect?
The nurse is assessing a client who is 20 weeks pregnant. Which health issue should the nurse recognize as increasing this client's risk for the development of preeclampsia?
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