Deck 4: Patient Focused Considerations

Question 1

A nurse is assessing an older adult Indigenous woman who is being treated for hypertension.During the assessment,what important information should the nurse remember or expect in regard to culture?

A)The patient should be discouraged from using traditional remedies and rituals.
B)The nurse should expect the patient to value protective bracelets and herbal teas.
C)The nurse should remember that the balance between body, mind, and environment is important to this patient's health beliefs.
D)The assessment should include information about cultural practices and beliefs regarding medication, treatment, and healing.

Answer 1

The assessment should include information about cultural practices and beliefs regarding medication, treatment, and healing.

Question 2

Which type of dosage calculation is used most commonly when calculating drug dosages for children?

A)Fried's rule
B)Clark's rule
C)Young's rule
D)The mg/kg formula

Answer 2

The mg/kg formula

Question 3

Which is true regarding young patients? (Select all that apply.)

A)The levels of microsomal enzymes are decreased.
B)Perfusion to the kidneys may be decreased, which may result in reduced renal function.
C)First-pass elimination is increased because of higher portal circulation.
D)First-pass elimination is reduced because of the immaturity of the liver.
E)Total body water content is much less than in adults.
F)Gastric emptying is slowed because of slow or irregular peristalsis.

Answer 3

The levels of microsomal enzymes are decreased.
Perfusion to the kidneys may be decreased, which may result in reduced renal function.
First-pass elimination is reduced because of the immaturity of the liver.
Gastric emptying is slowed because of slow or irregular peristalsis.

Question 4

Which ethnocultural group believes in harmony with nature and views ill spirits as causing disease?

A)Black people of African descent
B)South Asian Canadians
C)Filipino Canadians
D)Indigenous peoples

Question 5

A 22-year-old patient is in the twenty-sixth week of pregnancy and has developed gestational diabetes and pneumonia.She is given medications that pose a possible fetal risk,but the potential benefits may warrant the use of the medications in her situation.Which is the Food and Drug Administration (FDA)pregnancy safety category for this medication?

A)Category B
B)Category C
C)Category D
D)Category X

Question 6

For which cultural group must the nurse respect the value placed on natural health products,the use of heat,and a concern for the balance of opposing forces that lead to illness or health?

A)Hispanic Canadians
B)Asian Canadians
C)Indigenous peoples
D)Black people of African descent

Question 7

The nurse is aware that confusion,ataxia,and increased risk for falls are older adult patients' common responses to which medication?

A)Laxatives
B)Anticoagulants
C)Sedatives
D)Diuretics

Question 8

An 83-year-old female patient has been given a thiazide diuretic to treat mild heart failure.She and her daughter should be taught to watch for which complications?

A)Dizziness and constipation
B)Fatigue and dehydration
C)Daytime sedation and lethargy
D)Edema and blurred vision

Question 9

Which statement is true in regard to children?

A)Their levels of microsomal enzymes are decreased compared to those of adults.
B)Their total body water content is much less than that of adults.
C)Their first-pass elimination is increased because of higher portal circulation.
D)Gastric emptying is more rapid than that of adults because of increased peristaltic activity.

Question 10

Which is true regarding older adults? (Select all that apply.)

A)The levels of microsomal enzymes are decreased.
B)Fat content is increased because of decreased lean body mass.
C)Fat content is decreased because of increased lean body mass.
D)The number of intact nephrons is increased.
E)The number of intact nephrons is decreased.
F)Gastric pH is less acidic.
G)Gastric pH is more acidic.

Question 11

An older adult patient will often experience a reduction in the stomach's ability to produce hydrochloric acid.This change will result in which alteration?

A)Delayed gastric emptying
B)Increased gastric acidity
C)Decreased intestinal absorption of medications
D)Altered absorption of select drugs

Question 12

The nurse is trying to give a liquid medication to a 2-year-old child and notes that the medication has a strong taste.The best way for the nurse to give this medication to a child is to

A)give the medication with spoonfuls of sherbet.
B)add the medication to the child's bottle.
C)tell the child you have candy.
D)add the medication to a cup of milk.

Question 13

Which complication is common with an older adult patient who is taking digoxin?

A)Hallucinations
B)Edema
C)Dry mouth
D)Constipation

Question 14

While assessing an 82-year-old woman,the nurse determines that the patient is experiencing polypharmacy.What is this experience most likely to indicate?

A)The patient has a lower risk of drug interactions.
B)The patient takes medications for one illness several times a day.
C)The patient risks problems only if she also takes over-the-counter medications.
D)The patient takes multiple medications for several different illnesses.

Question 15

Which is the reason drug toxicity is more likely to occur in the neonate?

A)The lungs are immature.
B)The kidneys are smaller.
C)The liver is not fully developed.
D)Renal excretion of the drug is faster.

Question 16

For accurate medication administration to young patients,the nurse must take into account which information?

A)Weight, height, age, and organ maturity
B)Age, glomerular filtration rate, and weight
C)Weight, height, body temperature, and age
D)Weight, height, and total body water content

Question 17

During the last trimester of pregnancy,drug transfer to the fetus is more likely to occur.Which is a reason for this possibility?

A)Fetal size
B)Decreased surface area
C)Enhanced placental blood flow
D)Increased amount of bound drug in maternal circulation