A nurse is caring for an Arab American patient in the hospital. The patient has many visitors who seem to be tiring the patient. What action by the nurse is best?

Limit the number of visitors the patient can have

Suggest shorter visits to the patients visitors

Require visitors to check in at the front desk

Only allow family members to visit the patient

Answer and Explanation

The Correct Answer is B

A.   Limiting the number of visitors may be a necessary step if the patient is becoming overwhelmed or tired. However, this approach might not consider the cultural significance of extended family and community in Arab American culture, where family involvement is often highly valued.
B.   Suggesting shorter visits is a more balanced approach. It acknowledges the patient's need for rest while still respecting the importance of family and community involvement. This action can help manage the patient's fatigue while allowing them to maintain cultural and familial connections. It’s a compromise that accommodates both the patient's health needs and cultural values.
C.   Requiring visitors to check in at the front desk can help manage visitor flow and ensure that the patient is not overwhelmed. However, this action does not directly address the issue of visitor duration or frequency, which might still lead to patient fatigue. It also might not align with cultural expectations of openness and hospitality in Arab American culture, where family and visitors are often seen as central to the patient’s well-being.
D.   Allowing only family members to visit might help reduce the number of visitors and ensure that the patient receives support from those closest to them. However, this approach may be too restrictive and could potentially isolate the patient from their broader support network, which might be an important aspect of their cultural practices. It also does not address the underlying issue of managing visitor fatigue.

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Correct Answer is B

Explanation

A. Serum complement levels are used to evaluate the complement system, which is part of the immune system and plays a role in inflammation and infection. While complement levels can be important in certain inflammatory and autoimmune conditions, they are not typically used to assess age-related changes that impact drug metabolism or the appropriate selection of pain medications.
B. The Glomerular Filtration Rate (GFR) is a key measure of kidney function. In older adults, kidney function often declines with age, affecting the metabolism and excretion of medications. Many drugs are primarily eliminated through the kidneys, and impaired kidney function can lead to drug accumulation, increased risk of toxicity, and altered therapeutic efficacy. Assessing GFR helps in adjusting medication doses to avoid adverse effects and ensure safe and effective treatment.
C. A White Blood Count (WBC) measures the number of white blood cells in the blood and is used to assess the body's response to infection, inflammation, and other conditions. While it provides valuable information about immune function and potential infections, it does not directly address age-related changes in drug metabolism or pharmacokinetics. Therefore, it is not the primary test for evaluating how aging might affect drug therapy.
D. An Electroencephalogram (EEG) records the electrical activity of the brain and is used to diagnose neurological conditions such as seizures, sleep disorders, and brain abnormalities. Although EEGs are valuable in certain neurological assessments, they do not provide information on how age-related physiological changes affect drug metabolism or how to tailor drug regimens for older adults.

A. The patients blood pressure stays within normal limits B. The patient experiences no injuries as a result of dizziness C. The patient describes symptoms indicative of an adverse drug reaction D. The patient verbalizes the importance of moderate exercise

Correct Answer is B

Explanation

A. While controlling blood pressure is the primary goal of propranolol therapy, it doesn't directly address the medication's potential impact on quality of life.
B. Propranolol, a beta-blocker, is commonly used to treat hypertension. Dizziness is a common side effect of this medication. Therefore, the best indicator of goal success regarding the drug's effect on the patient's quality of life is the absence of injuries related to dizziness. This indicates that the patient is able to manage the side effect and continue their daily activities safely.
C. If the patient experiences adverse drug reactions, it indicates that the medication is not being tolerated well and may need to be adjusted or discontinued.
D. While regular exercise is important for overall health, it doesn't directly address the specific goal of improving the patient's quality of life in relation to the medication.

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A nurse is caring for an Arab American patient in the hospital. The patient has many visitors who seem to be tiring the patient. What action by the nurse is best?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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