Which of the following would be the best choice for treating mild back pain in an older adult who has chronic kidney disease? Liver enzymes are within normal limits.

ASA

Meperidine

Ibuprofen

Acetaminophen

None of the above

Answer and Explanation

The Correct Answer is D

Choice A reason: ASA (aspirin) is not the best choice, as it can cause bleeding, ulcers, and allergic reactions in some older adults. ASA is also metabolized by the liver, which may be affected by chronic kidney disease.

Choice B reason: Meperidine (Demerol) is not the best choice, as it is a narcotic analgesic that can cause respiratory depression, sedation, and dependence in older adults. Meperidine is also excreted by the kidneys, which may be impaired by chronic kidney disease.

Choice C reason: Ibuprofen (Advil, Motrin) is not the best choice, as it is a nonsteroidal anti-inflammatory drug (NSAID) that can cause kidney damage, fluid retention, and hypertension in older adults. Ibuprofen is also contraindicated in patients with chronic kidney disease.

Choice D reason: Acetaminophen (Tylenol) is the best choice, as it is a mild analgesic that can relieve pain without causing significant side effects in older adults. Acetaminophen is also safe to use in patients with chronic kidney disease, as long as the dose is adjusted according to the liver function.

Choice E reason: None of the above is not the correct answer, as there is one choice that is the best choice for treating mild back pain in an older adult who has chronic kidney disease.

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

Explanation

Choice A: Increase in physical activity

Physical activity can strengthen the muscles that help control urination. Exercises such as Kegels can specifically target these muscles, leading to improvements in urinary incontinence.

Choice B: Blood sugar control

While blood sugar control is important for overall health and can prevent complications from diabetes, it is not directly associated with improvements in urinary incontinence.

Choice C: Smoking cessation

Smoking can lead to coughing which puts pressure on the bladder and can exacerbate symptoms of urinary incontinence. Therefore, smoking cessation can lead to improvements.

Choice D: Weight reduction

Excess weight can put pressure on the bladder and surrounding muscles. Losing weight can reduce this pressure and improve symptoms of urinary incontinence.

There is no Choice E in this case. Each of these interventions can contribute to overall health and may indirectly affect urinary incontinence, but Choices A, C, and D are the most directly related to improvements in this condition.

A. Call 9-1-1. B. Determine if the client has a history of migraine headaches. C. Give the client a dose of acetaminophen. D. Assure the client the symptoms will resolve within 24 hours. E. None of the above.

Correct Answer is A

Explanation

Choice A reason: Call 9-1-1 is the best action to take initially, as the client may be having another TIA or a stroke. The nurse should act fast and seek emergency medical attention for the client, as timely intervention can prevent permanent brain damage and disability.

Choice B reason: Determine if the client has a history of migraine headaches is not the best action to take initially, as it may delay the diagnosis and treatment of a possible TIA or stroke. Migraine headaches can cause similar symptoms to a TIA or stroke, but they are not the same condition and require different management.

Choice C reason: Give the client a dose of acetaminophen is not the best action to take initially, as it may mask the symptoms of a possible TIA or stroke and interfere with the blood clotting process. Acetaminophen is a pain reliever and a fever reducer, but it is not effective for treating a TIA or stroke.

Choice D reason: Assure the client the symptoms will resolve within 24 hours is not the best action to take initially, as it may give the client a false sense of security and prevent them from seeking urgent medical care. A TIA or stroke is a medical emergency that requires immediate attention, as the symptoms may worsen or become permanent.

Choice E reason: None of the above is not the correct answer, as there is one choice that is the best action to take initially.

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Which of the following would be the best choice for treating mild back pain in an older adult who has chronic kidney disease? Liver enzymes are within normal limits.

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Naxlex Comprehensive Predictor Exams

A nurse is conducting education on urinary incontinence at a senior center. The nurse is discussing lifestyle changes that are associated with an improvement in urinary incontinence. The nurse includes which of the following interventions? (Select all that apply.)

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

Explanation

A home health nurse is completing an admission on a client who recently experienced a transient ischemic attack (TIA). During the assessment, the client begins to report a severe headache and numbness in the left arm. Which action should the nurse take initially?

Correct Answer is A

Explanation

Which of the following statements is true about analgesic medications for older adults?

An older adult diagnosed with Type II DM who is being treated with insulin wants to increase his activity level and begin a walking program. What recommendations should the nurse provide to this client?

When assessing an older male client, what are some issues that might put your client at risk for dehydration? (Select all that apply.)

Which conditions are likely to cause an older adult chronic pain? (Select all that apply.)

In a long-term care facility, a nurse is having a discussion with the nurse aides about ways to deal with dementia clients who are uncooperative with mouth care. Appropriate methods to use include which of the following?

According to Healthy People 2020, older adults have been identified as a priority, addressing goals to improve dental health. Identify the correct dental health goals for older adults. (Select all that apply.)

The nurse notices that an older adult’s urine is concentrated. Which step should the nurse implement next?