Author Question: Which of the following statements BEST describes the teachinglearning process? a. It follows the ... (Read 55 times)

ahriuashd · **on:** Jun 25, 2018

Which of the following statements BEST describes the teachinglearning process?

a. It follows the distinct order of the nursing process, with each step of the process separate and without repetition.
b. It requires formal blocks of learning time that are planned during the shift.
c. It is a continuous activity that occurs during hospitalization and beyond.
d. It ends at the point of discharge.

Question 2

A 68-year-old patient has been admitted to the coronary care unit after an inferior myocardial infarction

Dopamine 3 mcg/kg/min has been ordered for this patient. What nursing implications should be considered when administering this drug to an older patient?

a. No changes are noted in older patients with this drug.
b. Drug effect is enhanced by increased receptor site action.
c. Increased breakdown by liver hepatocytes occurs, increasing dosage requirements.
d. Drug metabolism and detoxification are slowed, increasing the risks of drug toxicity.

jessicaduplan · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

C
In the teachinglearning process, the steps of the nursing process (assessment, diagnosis, goals, interventions, and evaluation) may occur simultaneously and repetitively. The teachinglearning process is a dynamic, continuous activity that occurs throughout the entire hospitalization and may continue after the patient has been discharged.

Answer to Question 2

D
Reduced drug-metabolizing capacity is caused by a decline in activity of the drug-metabolizing enzyme system, microsomal ethanol oxidizing system, and decrease in total liver blood flow. Medications that depend on the cytochrome P450 group of liver enzymes are most affected because age-associated changes cause as much as a 50 decline in enzymatic function.