The nurse is preparing to apply a topical cream on the arm of a cognitively impaired, anorexic older adult patient in the terminal stage of lung cancer. The nurse carefully monitors the effectiveness of the medication because its effectiveness will be most negatively impacted by the patient's:
age
cancer diagnosis
nutritional status
cognitive limitations
The Correct Answer is C
A. While age can affect the absorption of some medications, it is not the primary factor that would impact the effectiveness of a topical cream in this case.
B. The cancer diagnosis itself does not directly affect the absorption of topical medications. However, the underlying disease process and treatment may impact the patient's overall health and nutritional status, which can in turn affect medication absorption.
C. Topical medications are absorbed through the skin. Malnutrition can lead to skin thinning and decreased circulation, which can impair the absorption of topical medications. Therefore, the patient's nutritional status is the most likely factor to negatively impact the effectiveness of the topical cream.
D. The patient's cognitive limitations may make it difficult to follow instructions regarding the application of the topical cream, but this does not directly affect the medication's effectiveness.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Culture encompasses a broad range of shared beliefs, behaviors, and expectations that shape the way individuals and groups interact with each other and their environment. It includes aspects such as language, religion, customs, traditions, values, and social norms.
B. While geography can play a role in shaping culture, it is not the sole determinant. People from the same region may have different cultural backgrounds and beliefs.
C. While morality is an important aspect of culture, it is not the only one. Culture also includes shared beliefs about beauty, art, music, and other aspects of life.
D. Culture is not defined by physical appearance. People from different cultural backgrounds can look similar, while people from the same cultural background can look quite different.
Correct Answer is ["B","D","E"]
Explanation
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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