An older adult diabetic patient is mildly hypertensive. The nurse prepares to educate the patient regarding angiotensin ll blocking agents. These drugs are especially useful in older adults because they:

protect the kidneys function

have a well-defined therapeutic window

can be given when liver function is compromised

are more effective than other drugs in the same class

Answer and Explanation

The Correct Answer is A

A.   Angiotensin II receptor blockers (ARBs) are a class of medications used to treat high blood pressure. They work by blocking the effects of angiotensin II, a hormone that constricts blood vessels and causes the kidneys to retain sodium and water. This can lead to increased blood pressure and damage to the kidneys.

B.   While ARBs do have a well-defined therapeutic window, this is not the primary reason why they are especially useful in older adults.
C.   ARBs should be used with caution in patients with liver problems, as they can be metabolized by the liver.
D.   ARBs are generally considered to be as effective as other antihypertensive medications, such as angiotensin-converting enzyme (ACE) inhibitors.

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Correct Answer is C

Explanation

A. This question is specific to a potential complication of diabetes, but it does not directly assess the patient's understanding of their current health problems or the importance of self-monitoring blood glucose levels.
B. This question is about a specific laboratory result, but it does not assess the patient's understanding of the importance of self-monitoring blood glucose levels.
C. This question assesses the patient's understanding of the importance of self-monitoring blood glucose levels, which is crucial for managing diabetes. By understanding the reasons behind this intervention, the patient is more likely to comply with the treatment plan and make informed decisions about their health.
D. This question is about the logistics of medication management, but it does not assess the patient's understanding of their current health problems or the importance of self-monitoring blood glucose levels.

A. 2.5 tablets B. 1 tablet C. 3 tablets D. 0.5 tablet

Correct Answer is A

Explanation

0.25 mg = 250 mcg

Number of tablets = Desired dose (mcg) / Tablet strength (mcg) Plugging in the given values:

Number of tablets = 250 mcg / 100 mcg/tablet Number of tablets = 2.5 tablets

Therefore, the nurse should administer 2.5 tablets of levothyroxine sodium (Synthroid) to the patient.

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An older adult diabetic patient is mildly hypertensive. The nurse prepares to educate the patient regarding angiotensin ll blocking agents. These drugs are especially useful in older adults because they:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a patient's understanding of their current health problems which in turn contributes to proper disease management. Which question by the nurse is most helpful?

Correct Answer is C

Explanation

The nurse is caring for an older patient with hypothyroidism and receives an order to administer 0.25 mg of levothyroxine sodium (Synthroid) PO every morning before breakfast. The nurse has on hand 100 mcg/tablet. How many tablet(s) should the nurse administer?

Correct Answer is A

Explanation

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