The nurse is reviewing an elderly client’s medication administration record.The provider’s order states: Acetaminophen (Tylenol) 650 mg PO every 4 hours as needed for pain.The client reports taking the following doses in the past 24 hours:0600 – 650 mg1000 – 650 mg1600 – 650 mg2000 – 650 mg 2400 – 650 mgIs the dosage received within the safe limit for a frail elderly client?  Put 1 for yes or put 2 for no

The nurse is caring for a client with heart failure on a 1500 mL fluid restriction per 24 hours. At the end of the day shift, the nurse reviews the intake record:0800: Coffee – 8 oz0900: Orange juice – 4 oz1200: Soup – 12 oz1400: Water – 6 oz1600: Gelatin – 4 oz1700: Tea – 4 ozAt 20:00 the client asks for a cup of hot tea (8 oz).  The client has not had any additional fluid since dayshift.Can the nurse give the tea without exceeding the fluid restriction?  Put 1 for yes or put 2 for no.

The nurse understands that time spent in rapid eye movement sleep (REM) and delta wave sleep is needed for mind and body restoration. Which of the following would interfere with adequate rest and restoration?

A nurse in a long-term care facility witnesses an attendant psychologically abusing a client with dementia. What actions are suggestive of this type of abuse?

A dying client tells the nurse that he does not want any more renal dialysis treatments and just wants to be permitted to die. What should the nurse do with medications prescribed to control the client’s edema? 

A client has been diagnosed with lung cancer with metastases and has learned that the prognosis is very poor. What is the most appropriate question to initiate a discussion about the client’s future wishes for care?

The children and spouse of a client dying of renal failure are eager to interact with the client as much as possible in the days before death. Consequently, the client’s daughter has questioned the nurse’s decision to administer the client’s scheduled opioid analgesic stating that the client does not appear to be in pain at the present time and that the drug tends to make the client drowsy. Which response by the nurse would be most appropriate initially?

The spouse of a terminally ill client who is receiving hospice care asks why antibiotics are being prescribed for a urinary tract infection when the client is going to die anyway. What information should be included in the nurse’s explanation?

During an interview, the nurse notes that an older client is having some occasional difficulty with word finding and forgetting the names of people. The client is alert, oriented to time, person, and place, and makes appropriate responses. The client is still employed and managing work responsibilities. What does the nurse conclude from this assessment that the client is experiencing?

The client recently experienced the death of their spouse of 50 years. After 4 months has passed the client continues to set the table for two each evening and puts the spouses’s picture on the table. The client refuses to remove spouse’s belongings from their shared spaces. Daughter expresses concern when accompanying the parent to a routine physician visit. Based on the information provided what stage of grieving does the nurse discuss with the daughter?