Assignment: Treatment Plan of Lung Cancer

Assignment: Treatment Plan of Lung Cancer

Question 1 (5 points)

An 88-year-old, being admitted to rule out lung cancer, is assessed using the short form of the Geriatric Depression Scale tool When it is determines that the earned score is 9, the nurse initially:

Question 1 options:

Asks if they have any thoughts of committing suicide

Recognizes that this score is not indicative of depression

Knows it is not unusual for clients this age to earn such a score

Notifies the client’s healthcare provider immediately

Question 2 (5 points)

A widowed grandmother is about to assume the role of custodial parent for her 6-year-old grandchild Which intervention has priority when preparing the grandmother for long-term success in this new role?

Question 2 options:

Reviewing the developmental milestones of childhood

Identifying local sources of child counseling services

Discussing the common challenges of parenting a 6 year old

Teaching stress management and relaxation techniques

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Question 3 (5 points)

The client is diagnosed with dyslipidemia This diagnosis is supported when the client’s lipid panel indicates a: Select all that apply

Question 3 options:

Triglyceride level of triglyceride levels (>2000 mg/dL)

Low Density Lipids (LDL) level of 120 mg/dL

Total Cholesterol level of 260 mg/dL

High Density Lipids (HDL) level of 70 mg/dL

Glucose level of 230 mg/dL

Question 4 (5 points)

Which factor is the greatest barrier to an older adult living independently?

Question 4 options:

Deficits in vision and/or hearing resulting in safety issues

Limited finances that prevent upkeep and maintenance of a residence

Depression that occurs after the death of a spouse or significant other occurs

The manifestation of cognitive impairment resulting from dementia or Alzheimer’s

Question 5 (5 points) Question 5 Unsaved

Compared with acute pain, persistent pain requires the nurse to:

Question 5 options:

Monitor vital signs more frequently

Document the character of the pain as burning

Administer analgesics at least every 4 hours

Educate the client to the benefit of specific lifestyle changes

Question 6 Unsaved

When diagnosed with diverticulosis, a client asks how this problem occurred Which assessment data identifies a risk factor for diverticulosis?

Question 6 options:

Drinks a quart of whole milk daily

Takes an over the counter laxative twice weekly

History of a Helicobacter pylori infection

Maintains a diet low in fiber

Question 7 (5 points) Question 7 Unsaved

When focusing best on the goal of enhancing the health and well-being of the older residents of extended care living facility, the nurse:

Question 7 options:

Assures that they all receive their medications and treatments on time

Assesses each new resident to determine their food and beverage preferences

Asks the nursing assistant to “allow the residents to dress themselves but to check that they are dressed appropriately”

Documents that “the residents appeared to enjoy the opportunity to socialize at the weekly Sunday brunch”

Question 8 (5 points) Question 8 Unsaved

The nurse best addresses the spirit of the Healthy People 2020 project regarding the older adult when:

Question 8 options:

Providing information regarding where free flu vaccinations are being given to those over 65 years of age

Facilitating a “Walking for your Health” program for residents of a senior living apartment complex

Arranging for a registered nutritionist to hold a “Grandparents and their Grandchildren Cooking Together” class

Encouraging their utilization of government sponsored health and wellness programs that target the senior citizen

Question 9 (5 points) Question 9 Unsaved

When acting as a fictive kin, in which activity will a paid caregiver engage?

Question 9 options:

Being responsible for paying the client’s bills

Organizing the client’s birthday celebration

Accompanying the client to doctor’s appointments

Assuring the client has clean, appropriate clothing available

Question 10 (5 points) Question 10 Unsaved

An older adult is being treated for severe pain resulting from a history of osteoarthritis In her discharge teaching, which information is most important to the successful management of the pain?

Question 10 options:

Check for incompatibilities before taking any new medications

Arrange to take a dose of analgesic prior to physical activity

To take the analgesic around the clock as prescribed

Be alert for the signs of overdose toxicity

Question 11 (5 points) Question 11 Unsaved

Which diagnostic laboratory test should the nurse anticipate being ordered for the purpose of evaluating an individual’s acute, unexplained weight loss? Select all that apply

Question 11 options:

A complete blood count (CBC)

Urinalysis

Fecal occult blood

Serum potassium

Serum electrolytes

Question 12 (5 points)

When developing a teaching plan for an older, newly diagnosed diabetic client, the nurse best ensures an understanding of oral hypoglycemic medications when providing:

Question 12 options:

The package insert and assessing the client’s reading skills

The client with the website address for the American Diabetes Association

Oral explanations and sending the client home with a written copy

The information in paragraph form as opposed to numbered line fashion

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Question 13 (5 points) Question 13 Unsaved

While the older African-American is at the highest risk for developing Alzheimer’s disease, the nurse demonstrates an understanding of this disease process’s risk factors when assessing this population’s:

Question 13 options:

Weight and elimination patterns

Heart rate and capillary refill status

Blood pressure and glucose serum levels

Muscle strength and reflex times

Question 14 (5 points) Question 14 Unsaved

When best promoting a sense of well-being, the role of the nurse caring for a terminally ill client is to:

Question 14 options:

Assume responsibility regarding medical decision making

Encourage the client to identify his/her idea of a peaceful death

Provide information regarding hospice care’s ability to prolong life

Help empower the client to achieve his/her potential for wellness

Question 15 (5 points) Question 15 Unsaved

The nurse admitting a client to a same day surgery unit makes the decision to notify the surgical team to cancel the procedure based on the client’s statement that:

Question 15 options:

“Will I start taking my St John’s Wort as soon as I can eat again?”

“I’ve haven’t taken my ginkgo for exactly 10 days”

“I didn’t want to risk catching a cold so I took my Echinacea with just a sip of water”

“It seemed strange not taking my garlic pill this morning”

Question 16 (5 points) Question 16 Unsaved

The nurse shows understanding of the need to promote healthy skin in the older adult when encouraging the client to: Select all that apply