An elderly woman had a series of lab tests that indicate she is ...

[crobinson2013]

An elderly woman had a series of lab tests that indicate she is healthy, but she has had several colds lately and often feels fatigued (although she is not depressed). She eats lightly but has a healthful diet.
 
  Which is the best advice a nurse could give her for improving her health? A) Increase total food intake.
  B) Take mega-doses of vitamins.
  C) Exercise more.
  D) Have psychotherapy.

Question 2

When administering a proton pump inhibitor to a patient with gastroesophageal reflux disease (GERD), the nurse notes that the patient has great difficulty swallowing the enteric-coated pill.
 
  What should the nurse do when administering this medication to the patient in the future? A) Crush the pill and mix with applesauce
  B) Split the pill in two parts and give each separately
  C) Reposition the patient and provide more fluid when giving the pill
  D) Provide an herbal alternative that also reduces stomach acid production

[Kimmy]

Answer to Question 1

C
Feedback:
Eating more is inadvisable; current research indicates that a light but nourishing diet is best for most people. Although a daily vitamin/mineral supplement is a healthful practice, mega-doses of vitamins are seldom needed, and use of them should be supervised by a physician. Psychotherapy does not seem to be indicated; the woman is not depressed, and no other mental problem is mentioned. Exercise should help her general health, making her feel more awake during the day and helping her sleep at night. That, in turn, will increase her resistance to colds.

Answer to Question 2

C
Feedback:
Since enteric-coated pills should not be crushed or split, the nurse's best alternative is to reposition the patient and provide more fluid to aid with swallowing. It would be inappropriate to provide a nonpharmacologic alternative to the prescribed medication.

[crobinson2013]

Thank you

[Kimmy]

No problemo