The LPN/LVN is reinforcing education with an elderly patient diagnosed with diabetes and hypertension. Which topics would be vital for the nurse to emphasize? Select all that apply.

Monitor blood glucose levels.

Lifestyle modifications and medication adherence will not prevent blindness,

Lifestyle modifications can prevent strokes.

End organ damage is inevitable because of microvascular changes that occur.

Take medications as ordered.

Answer and Explanation

Correct Answer : A,C,E

A. Monitor blood glucose levels: Patients with diabetes need to keep their blood glucose levels under control to prevent complications, including those that can exacerbate hypertension or lead to cardiovascular problems.
B. Lifestyle modifications and medication adherence will not prevent blindness: This is incorrect. Proper management of diabetes through lifestyle changes and medication adherence can help prevent complications like diabetic retinopathy, which can lead to blindness.
C. Lifestyle modifications can prevent strokes: Effective management of diabetes and hypertension through lifestyle changes (diet, exercise, smoking cessation) can significantly reduce the risk of strokes and other cardiovascular events.
D. End organ damage is inevitable because of microvascular changes that occur: This is misleading. While microvascular changes are a risk in diabetes, proper management and lifestyle modifications can greatly reduce the risk and progression of end-organ damage.
E. Take medications as ordered: Adherence to prescribed medications is crucial for controlling both blood glucose and blood pressure, reducing the risk of complications such as stroke, heart disease, and kidney damage.

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Correct Answer is ["A","B","D"]

Explanation

A. Use a picture board.: A picture board can help patients with expressive aphasia communicate their needs and thoughts visually, bypassing their difficulty with verbal expression.
B. Provide pencil and paper.: Providing pencil and paper allows the patient to write down words or draw pictures, which can facilitate communication.
C. Obtain an interpreter.: An interpreter is not necessary unless the patient has a language barrier in addition to aphasia. Aphasia is a language disorder resulting from brain damage, not a problem with understanding different languages.
D. Speak slowly and clearly.: Speaking slowly and clearly can help the patient understand what is being said, which is important as they may have difficulty processing spoken language.
E. Speak loudly.: Speaking loudly is unnecessary and can be counterproductive. The issue with expressive aphasia is not related to hearing but to the ability to express thoughts through speech.

A. Acutely inflamed joints will respond best to heat therapy. B. It is essential to monitor all body systems for effects of the disease. C. Injury and age are the greatest contributors to disease development. D. Exercise is poorly tolerated and frequent rest is needed.

Correct Answer is B

Explanation

A. Acutely inflamed joints will respond best to heat therapy: Heat can help relieve chronic joint stiffness and pain, but acutely inflamed joints are best treated with cold therapy to reduce inflammation and pain.
B. It is essential to monitor all body systems for effects of the disease: RA is a systemic autoimmune disorder that can affect multiple body systems, including the cardiovascular, respiratory, and integumentary systems, making comprehensive monitoring crucial.
C. Injury and age are the greatest contributors to disease development: RA is not primarily caused by injury or aging. It is an autoimmune condition that can develop at any age, although it is more common in middle age and is influenced by genetic and environmental factors.
D. Exercise is poorly tolerated and frequent rest is needed: While rest is important during flare-ups, regular, gentle exercise is beneficial for maintaining joint function and overall health in RA patients. It helps maintain mobility and reduces joint stiffness.

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The LPN/LVN is reinforcing education with an elderly patient diagnosed with diabetes and hypertension. Which topics would be vital for the nurse to emphasize? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is providing care for a patient with expressive aphasia. Which intervention does the nurse expect to find in the patient's plan of care? (Select all that apply.)

Correct Answer is ["A","B","D"]

Explanation

The nurse is assisting with the care of a patient with rheumatoid arthritis (RA). What should the nurse consider when providing care?

Correct Answer is B

Explanation

When taking blood pressure medications, it is important to reinforce education with the patient on which topics? Select all that apply.

The nurse is preparing for a home visit to a patient with an external fixation device of the lower extremity. What priority care is anticipated?

The nurse is assisting with patients in an orthopedic unit. Which is an important factor to remember when caring for patients after a total hip replacement?

The nurse is reinforcing teaching about dietary changes with a patient newly diagnosed with hypertension. What should the nurse include in the teaching about a DASH diet? Select all that apply. (Select All that Apply.)

The nurse is caring for a group of patients. Which patient is the priority?

The nurse is caring for Mr. Able, age 46, who has gout. Which of these morning laboratory values does the nurse monitor for this patient?

A patient with peripheral arterial disease (PAD) is sitting in a chair and has cool feet that are reddish-purple in color. What action should the nurse take?

The nurse is caring for a patient recently admitted with a stroke. The patient is experiencing nausea and begins to vomit. Which of the following actions should the nurse take first?