A 69-year-old was prescribed a benzodiazepine 3 years ago. This medication regimen increases the patients risk for injury related to drug abuse and requires frequent patient assessment for which of the following? (Select all that apply.)

Easy bleeding

Shortness of breath

Forgetfulness

Daytime sleepiness

Unsteady gait

Answer and Explanation

Correct Answer : B,D,E

A.   Easy bleeding is not a common side effect or concern associated with benzodiazepines. This symptom is more typically associated with anticoagulant medications or conditions affecting blood clotting. While it’s essential to monitor for side effects, easy bleeding is not directly related to benzodiazepine use.
B.   Shortness of breath is not a typical side effect of benzodiazepines. However, it is important to monitor respiratory function in patients on any medication, especially if there are signs of respiratory distress or if the patient is on other medications that might interact with benzodiazepines. A
C.   Benzodiazepines are known to cause cognitive impairments, including forgetfulness. This is particularly concerning in older adults, who may be more vulnerable to cognitive side effects. Memory issues and confusion can impact daily functioning and increase the risk of accidents and falls.
D.   Daytime sleepiness is a common side effect of benzodiazepines due to their sedative properties. This side effect can significantly affect daily activities and increase the risk of falls and accidents. It’s essential to monitor patients for excessive drowsiness, as it can impact their safety and overall quality of life.
E.   Benzodiazepines can cause motor impairment, including unsteady gait and increased risk of falls. This is particularly problematic in older adults who may already have decreased balance and coordination. Monitoring for unsteady gait is crucial to prevent falls and other injuries related to impaired mobility.

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Correct Answer is ["A","B","C","E"]

Explanation

A. This option is relevant to primary disease prevention because it aims to prevent smoking-related diseases before they occur. By providing information about smoking cessation support groups, the nurse helps the patient reduce or eliminate a major risk factor for many serious diseases, including cancer and cardiovascular disease. This aligns with the goals of primary prevention.

B.A This option is a form of primary disease prevention. The influenza vaccination helps prevent the flu before it starts, thus reducing the risk of illness and its complications. Vaccinations are a classic example of primary prevention, as they protect against diseases before they occur.
C. This option also aligns with primary disease prevention. Teaching the patient about dietary changes to manage hypertension can help prevent the development of hypertension-related complications such as heart disease or stroke. By addressing dietary habits before hypertension develops, this intervention supports primary prevention.
D. This option is not primarily a primary prevention measure. Occult stool screening kits are used for early detection of colorectal cancer, which is more about secondary prevention. Secondary prevention focuses on early detection and intervention to reduce the impact of a disease once it has already developed but before symptoms appear.
E. This option represents primary disease prevention. The pneumococcal vaccine helps prevent pneumonia and other serious infections caused by pneumococcal bacteria. Vaccination, especially in older adults, is an effective method to prevent illness before it occurs, fitting the primary prevention category.

A. is required to sign official documents B. is being oriented to the facility C. indicates a desire to talk with the physician D. begins crying and is inconsolable

Correct Answer is A

Explanation

A. When a patient is required to sign official documents, such as medical consent forms or advance directives, it is crucial that they understand the implications of their decisions. An interpreter can ensure that the patient fully comprehends the information and can make informed choices about their care.
B. While an interpreter can be helpful for orientation, it is not as critical as when the patient is signing official documents.
C. An interpreter can facilitate communication between the patient and the physician, ensuring that the patient's concerns and questions are fully understood. However, this is not as critical as when the patient is making important decisions about their care.
D. While it is important to provide emotional support to a patient who is upset, an interpreter may not be necessary in this situation. The nurse can use nonverbal communication and other strategies to comfort the patient and address their emotional needs.

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A 69-year-old was prescribed a benzodiazepine 3 years ago. This medication regimen increases the patients risk for injury related to drug abuse and requires frequent patient assessment for which of the following? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse planning primary disease prevention interventions for a 64-year-old patient includes which of the following? Select all that apply.

Correct Answer is ["A","B","C","E"]

Explanation

The nurse in an assisted living facility is preparing to admit an older adult patient who speaks very little English. The nurse decides that it is most Important that an Interpreter be present when the patient:

Correct Answer is A

Explanation

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