A
Generativity vs Stagnation
What is the age range for middle adults?
40-65 years old
The nurse is educating a 40-year old patient about health promotion. Which screening is most important for this age group?
A. Colonoscopy
B. Annual mammogram
C. Bone density
D. Yearly bloodwork
B. Annual mammogram
Your 50 year old patient makes a statement about his cardiovascular health. Which statement indicated a further need for teaching?
A. “I should exercise at least 150 minutes per week.”
B. “I need to avoid smoking to reduce my heart disease risk.”
C. “My risk of heart disease decreases as I get older.”
D. “I should monitor my blood pressure regularly.”
C. My risk of heart disease decreases as I get older
Your patient is ordered for one dose of 750ml of LR. The order is to infuse the LR at 125 ml/hr. How many hours will this dose infuse over?
6 hours
The nurse is providing education to their patient when the patient asks what is a common physiological change in middle adulthood?
A. Increased hearing acuity, especially high-pitched sounds
B. Increased near vision
C. Redistribution of subcutaneous fat
D. Increased bone density
C. Redistribution of subcutaneous fat
Your patient is asking about nutrition for middle aged adults. Which of the following statements should you include in your teaching?
A. Increase sodium intake to maintain fluid balance
B. Increase calcium and vitamin D intake to prevent bone loss
C. Reduce fiber intake due to slower metabolism
D. Avoid all fats to prevent weight gain
B. Increase calcium and vitamin D intake to prevent bone loss
Your patient is ordered for an IV bolus. The order says to administer 12.5 mg of the solution. The medication is available in a vial labeled 50mg/ml. How many ml will you administer per dose?
0.25 ml/dose
Which of the following is a key psychosocial characteristic of middle adulthood is:
A. Expanding social networks
B. Preparing for retirement
C. Desire to mentor younger generations
D. Focus on establishing independence
C. Desire to mentor younger generations
A nurse evaluates coping in a middle-aged client. Which statement indicates the client is not coping appropriately?
A. “I talk to my partner about my worries.”
B. “I exercise when I'm stressed.”
C. “I drink heavily to forget my problems.”
D. “I set achievable goals.”
C. “I drink heavily to forget my problems.”
Your patient is 48 years old and reports needing more light to read. This is...?
A. Glaucoma
B. Presbyopia
C. Cataracts
D. Macular degeneration
B. Presbyopia
Your patient is ordered for liquid Tylenol. The order is to administer 20 grams by mouth BID. Pharmacy dispenses you with 10 gram/15 ml. How many ml will you administer per dose?
30 ml/dose
A 60-year-old client expresses concerns about cognitive changes. Which findings might you expect with middle adulthood? Select all that apply.
A. Slower reaction time
B. Decreased ability to learn new skills
C. Increased trouble recalling names
D. Better decision-making due to life experience
E. Significant short-term memory loss
A. Slower reaction time
C. Increased trouble recalling names
D. Better decision-making due to life experience
An appropriate wellness screening for a 52-year-old male is:
A. Colon cancer screening
B. Hearing screening
C. Lead screening
D. Scoliosis X-ray
A. Colon cancer screening
A 48-year-old client expresses concern about “feeling less energetic.” The nurse recognizes this may be due to:
A. Reduced cardiac output
B. Increased lung elasticity
C. Increased metabolic rate
D. Increased hormone production
A. Reduced cardiac output
Your pt is ordered for IV Vancomycin. The medication is available in 250ml. The order is to infuse over 90 minutes. How many ml/hr will be administered? Round to the nearest tenth
166.7 ml/hr
Calculate the patient’s total urinary output for the shift. The patient has continuous bladder irrigation and a Foley catheter...
0800-1000: 3 Liters of bladder irrigation—
1000: emptied Foley catheter 3600 mL—
1100: 1 Liter of bladder irrigation—
1200: 2 Liters of bladder irrigation and emptied 3250 mL from Foley catheter
1300: 1 Liter of bladder irrigation
1400: 1 Liter of bladder irrigation
1500: 1 Liter of bladder irrigation and emptied 3120 mL from Foley Catheter
1600-1900: 3 Liters of bladder irrigation —
1900: emptied 4200 mL from Foley catheter
2170 mL
A nurse is educating their 50 year old patient about changes to reduce their cardiovascular risk. Which recommendations would you include in your education? Select all that apply.
A. Engage in 150 minutes of moderate exercise weekly
B. Reduce dietary sodium
C. Increase saturated fat intake
D. Maintain a healthy BMI
E. Stop smoking
F. Limit alcohol consumption
A. Engage in 150 minutes of moderate exercise weekly
B. Reduce dietary sodium
D. Maintain a healthy BMI
E. Stop smoking
F. Limit alcohol consumption
A nurse expects which normal cognitive change in middle adulthood?
A. Rapid decline in intelligence
B. Improved problem-solving ability
C. Loss of long-term memory
D. Inability to learn new information
B. Improved problem-solving ability
Your 52-year old patient is asking questions about normal physiologic changes of middle adulthood. Which of the following would you include in your teaching? Select all that apply.
A. Decreased visual accommodation (presbyopia)
B. Increased subcutaneous fat distribution in the abdomen
C. Faster reaction time and improved fine-motor skills
D. Decreased skin elasticity
E. Increased risk for chronic illnesses such as hypertension
A. decreased visual accommodation
B. Increased subcutaneous fat distrubtion in the abdomen
D. Decreased skin elasticity
E. Increased risk for chronic illnesses such as hypertension
Pt is ordered for Amoxicillin 25mg/kg/day BID. The pt weights 22lbs. The medication is available in 250mg/5ml suspension. How many ml's will be administered each dose?
2.5ml
What is your patients I/O for your shift, 1900-0700?
2000-0600: Jevity 50 mL/hr,
0825: 50 ml apple juice
0615: 50 cc free water flush,
2100-0215: Two 250 mL of red blood cells,
0115: 20 cc saline flush IV,
0300: Zosyn IV 50 mL,
0400: 10 cc saline flush IV,
Continuous fluids: Heparin 10 mL/hr & Normal Saline 100 mL/hr
Ileostomy: 300 mL
NG suction: 50 cc
Urine: 1850 mL
0920: 30 cc vomit
Wound vac: 100 cc
Intake: 2450 mL
Output: 2300 mL
(note 1 intake and 1 output not within your shift)
Calculate the patients intake during your shift 0700-1900:
0800: Two pieces of toast, 2 cups of oatmeal, 8 oz yogurt, 12 oz orange juice, 2 oz grits
1000: Two 8 oz of coffee w/ 2 oz of cream in each
1030: 50 cc vomit
1100: 24 oz of ice chips
1200: IV infusion of Zosyn 50 mL, 2 mL IV push Zofran and 10 cc saline IV flush
1215: 200 ml urine
1230: house salad, 12 oz soda, three 12 oz popsicles
1400: One pack of red blood cells (250 mL)
1500: 2 mL Morphine and 10 cc saline flush IV
1715: 10 cc saline flush IV
1730: 250 ml urine
1600-1900: Normal Saline IV 100 cc/hr
3394 mL
A 52-year-old client tells the nurse, “I feel like I haven’t accomplished anything meaningful.” According to Erikson, which issues may this client be experiencing? Select all that apply.
A. Stagnation
B. Inferiority
C. Generativity
D. Role confusion
E. Self-absorption
A. Stagnation
C. Generativity
E. Self-absorption
A client in middle adulthood is demonstrating signs of generativity. Which behaviors would the nurse expect? Select all that apply.
A. Mentoring younger coworkers
B. Participating in community volunteer work
C. Refusing to adapt to new workplace changes
D. Taking pride in helping raise grandchildren
E. Focusing primarily on personal desires and comfort
A. Mentoring younger coworkers
B. Participating in community volunteer work
D. Taking pride in helping raise grandchildren