A nurse is teaching an older adult client about the benefits of social interaction for health and well-being.

Which of the following statements by the client indicates a need for further teaching?

“Social interaction can help me lower my blood pressure and cholesterol levels.”

“Social interaction can help me boost my immune system and fight infections.”.

“Social interaction can help me improve my memory and learning ability.”.

“Social interaction can help me avoid stress and anxiety.”.

Answer and Explanation

The Correct Answer is D

The correct answer is D.

“Social interaction can help me avoid stress and anxiety.” This statement indicates a need for further teaching because social interaction does not necessarily help older adults avoid stress and anxiety.

In fact, some social situations may cause or increase stress and anxiety for some people, especially if they are negative, unpleasant, or conflictual.

Therefore, the nurse should explain to the client that social interaction can help them cope with stress and anxiety, but not avoid them altogether.

Choice A is correct because social interaction can help lower blood pressure and cholesterol levels by reducing the effects of stress hormones and promoting physical activity.

Choice B is correct because social interaction can help boost the immune system by enhancing positive emotions, increasing antibody production, and reducing inflammation.

Choice C is correct because social interaction can help improve memory and learning ability by stimulating brain regions involved in cognition, communication, and social perception.

Normal ranges for blood pressure are less than 120/80 mmHg for adults, and normal ranges for cholesterol are less than 200 mg/dL for total cholesterol, less than 100 mg/dL for LDL cholesterol, and more than 40 mg/dL for HDL cholesterol.

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Free Nursing Study Resources

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

Explanation

The correct answer is B, C, and E.

Phenytoin (Dilantin) is an anticonvulsant medication that is used to control seizures.

It can have several side effects, some of which are serious and require medical attention.

Here are some explanations for each choice:.

A. Avoid drinking grapefruit juice while taking this medication.

This iswrongbecause grapefruit juice does not interact with phenytoin.However, grapefruit juice can affect the levels of other medications, such as statins, calcium channel blockers, and some antidepressants.

B. Brush your teeth gently with a soft-bristled toothbrush.This isrightbecause phenytoin can causegingival hyperplasia, which is an overgrowth of the gums that can lead to bleeding, infection, and difficulty chewing.

To prevent this, patients should practice good oral hygiene, avoid alcohol and tobacco, and see a dentist regularly.

A. Avoid drinking grapefruit juice while taking this medication B.

Brush your teeth gently with a soft-bristled toothbrush C.

Wear a medical alert bracelet or necklace at all times D.

Stop taking this medication if you develop a rash or fever E.

Have your blood levels checked regularly as directed by your provider

A. Check blood glucose levels at least four times a day. B. Drink plenty of fluids and avoid caffeine C. Eat small, frequent meals and avoid simple sugars. D. Report any signs of infection or delayed wound healing.

Correct Answer is D

Explanation

The correct answer is D.

Report any signs of infection or delayed wound healing.

This is because oral hypoglycemic agents lower the blood glucose level, but they do not prevent the complications of diabetes mellitus, such as impaired wound healing and increased susceptibility to infections.Therefore, the client should be advised to monitor for any signs of infection, such as fever, redness, swelling, or pus, and report them to the health care provider promptly.

Choice A is wrong because checking blood glucose levels at least four times a day is not necessary for most clients who are taking oral hypoglycemic agents.

The frequency of blood glucose monitoring depends on the type and dose of medication, the level of glycemic control, and the presence of other factors that may affect blood glucose, such as illness or stress.The client should follow the individualized plan prescribed by the health care provider regarding blood glucose monitoring.

Choice B is wrong because drinking plenty of fluids and avoiding caffeine is not specific to clients who are taking oral hypoglycemic agents.

This is a general recommendation for all clients who have diabetes mellitus, as dehydration and caffeine can worsen hyperglycemia and increase the risk of diabetic ketoacidosis or hyperosmolar hyperglycemic state.However, this alone is not sufficient to manage diabetes mellitus and prevent complications.

Choice C is wrong because eating small, frequent meals and avoiding simple sugars is also a general recommendation for all clients who have diabetes mellitus, as this can help to maintain a stable blood glucose level and prevent hypoglycemia or hyperglycemia.

However, this alone is not sufficient to manage diabetes mellitus and prevent complications.The client should also follow a balanced diet that includes complex carbohydrates, protein, fiber, and healthy fats, and consult with a dietitian or a diabetes educator for individualized dietary guidance.

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A nurse is teaching an older adult client about the benefits of social interaction for health and well-being. Which of the following statements by the client indicates a need for further teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing discharge teaching for a patient who had a seizure disorder and is prescribed phenytoin (Dilantin). Which of the following instructions should the nurse include? (Select all that apply.).

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

Explanation

The nurse is providing discharge instructions to an older adult client who has diabetes mellitus and is taking oral hypoglycemic agents. The nurse should advise the client to do which of the following?

Correct Answer is D

Explanation

The nurse is caring for an elderly patient who has been admitted with pneumonia. The nurse knows that elderly patients are at increased risk for respiratory infections because of which of the following factors? (Select all that apply.).

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A nurse is assessing an older adult client who has been diagnosed with depression and social isolation. Which of the following questions should the nurse ask to determine the possible causes of the client’s condition?

A nurse is caring for an older adult client who reports feeling cold most of the time. The nurse knows that this is most likely due to which of the following physiological changes with aging?

A nurse is reviewing the medication list of an older adult client who has delirium. Which of the following medications can contribute to delirium in older adults?

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A nurse is assessing the risk factors for sexually transmitted infections (STIs) in older adult clients. Which of the following factors should the nurse consider? (Select all that apply.).

A nurse is teaching an older adult client about the benefits of social interaction for health and well-being.

Which of the following statements by the client indicates a need for further teaching?