An older man with severe knee pain tells the nurse how he lost ...

[waynest]

An older man with severe knee pain tells the nurse how he lost his job and his home after starting a new business when he was 48 years old. Now he lives alone and relies on Social Security.
 
  Us-ing Jung's theory, what in this individual's life is the most pivotal in his personality develop-ment? a. Living alone c. Severe knee pain
  b. Meager income d. Job and home loss

Question 2

The nurse administers an antibiotic and naproxen to an older female adult. Which labor-atory test result should the nurse monitor to gauge the older adult's response to the me-dication?
 
  a. Urine creatinine
  b. Indirect bilirubin
  c. Serum creatinine
  d. White blood cells

[xiaomengxian]

Answer to Question 1

D
Jung's theorizes that the personality forms, in part, after a crisis, as an individual moves from extroversion to introversion in aging. Living alone is a situation that is the result of many factors coalescing in an individual's life. A meager income can be a result of the individual's life work and other individual choices and events. His personality can affect how an individual deals with pain, and the pain can affect an individual's personality. However, whether the pain is old or new is not known; thus a determination cannot be made.

Answer to Question 2

A

Feedback
A Correct. Antibiotics and nonsteroidal antiinflammatory agents like naproxen can cause kidney damage from various mechanisms; thus the nurse monitors the urine creatinine because it reflects the system's ability to clear waste products and is especially important for gauging appropriate medication administration.
B Incorrect. Unconjugated (indirect) bilirubin reflects the liver's ability to conju-gate serum bilirubin.
C Incorrect. Serum creatinine, also a reflection of renal function, usually remains stable throughout life.
D Incorrect. White blood cells can reflect the degree of infection or inflammation in the body; however, the ability of an older adult to respond to infection can be diminished, and thus this can be a misleading indicator.

[waynest]

Excellent

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